NPIMap

Organization Active NPI

Caresouth HHA Holdings of Washington, LLC

Doing business as Enhabit Home Health

  • Home Health Agency
  • Omak, WA
National Provider Identifier
1700477395
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARESOUTH HHA HOLDINGS OF WASHINGTON, LLC
Doing business as
Enhabit Home Health
Practice address
800 Jasmine St Ste 2
Omak, WA 98841-9501
Phone
(509) 422-8621
Fax
(509) 388-2183
NPI assigned
Jan 27, 2021
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

800 Jasmine St Ste 2
Omak, WA 98841-9501

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HH.WA.OMA@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929000726 WA Part A Provider - Home Health Agency 3173611803 Practice locations: Omak, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700477395. Details of each certification follow.

Home health agency certification: CCN 507038

Legal name
CARESOUTH HHA HOLDINGS OF WASHINGTON, LLC
Doing business as
ENHABIT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 1, 1976
Last certification
Feb 6, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
800 Jasmine St
Ste 2
Omak, WA 98841-9501

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Encompass Health Home HealthCCN 507038 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

National Provider Directory

National Provider Directory

Locations

105 Westpark Dr
Ste D
Athens, GA 30606
Phone (706) 594-4944

3525 Piedmont Rd NE
Ste 30072
Atlanta, GA 30305
Phone (678) 619-0887

2743 Perimeter Pkwy
Ste 100
Augusta, GA 30909
Phone (706) 619-2058

3626 Walton Way Ext
Ste 1
Augusta, GA 30909
Phone (706) 854-7500

4128 Madeline Dr
Ste A
Augusta, GA 30909
Phone (706) 854-7500

117 Harmony Xing
Ste 7
Eatonton, GA 31024
Phone (706) 485-7188

1087 E Franklin St
Ste D
Hartwell, GA 30643
Phone (706) 283-3151

231 Furys Ferry Rd
Ste 210
Martinez, GA 30907
Phone (706) 826-2770

318 S Harris St
Apt A
Sandersville, GA 31082
Phone (478) 552-8788

5887 Glenridge Dr
Ste 130
Sandy Springs, GA 30328
Phone (678) 732-3470

118 Hill Pond Ln
Statesboro, GA 30458
Phone (912) 243-9040

109 Gordon St
Washington, GA 30673
Phone (706) 678-3221

309 Spring St
#A
Washington, GA 30673
Phone (706) 678-3221

Interoperability endpoints

  • Direct secure messaging: enhabit.hh.wa.oma@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Caresouth HHA Holdings, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 7.8%
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Offi Jun 21, 2021
Operational/Managerial ControlPresident & Ceo; Chain Home Offi Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 22, 2023
Julie D Jolley Individual Corporate OfficerExecutive VP of Home Health Oper Jun 1, 2021
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Wells Fargo Bank, N.a. Organization, Caharlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel/Secretary/Ao Feb 22, 2023
Jeanne L Kalvaitis Individual Corporate OfficerExecutive VP of Hospice Operatio Jul 1, 2022
Caresouth Health System Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Amy Mansfield Individual W-2 Managing EmployeeAdministrator Dec 19, 2023
Ryan T Solomon Individual Corporate OfficerCfo/Ao Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2021 Change of OwnershipThis provider was the buyer Frontier Home Health and Hospice, LLCCCN 507038, WA, NPI 1790027480

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1700477395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JASMINE ST STE 2",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419501",
            "telephone_number": "509-422-8621",
            "fax_number": "509-388-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF WASHINGTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HH.WA.OMA@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "800 Jasmine St Ste 2",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

Verify at the official NPI Registry.