NPIMap

Organization Active NPI

Emerald Healthcare, Inc.

  • Home Health Agency
  • Tacoma, WA
National Provider Identifier
1710410964
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMERALD HEALTHCARE, INC.
Practice address
4002 Tacoma Mall Blvd Ste 204a
Tacoma, WA 98409-7702
Phone
(253) 735-4282
Fax
(253) 833-8933
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4002 Tacoma Mall Blvd Ste 204a
Tacoma, WA 98409-7702

Mailing address

4002 Tacoma Mall Blvd Ste 204a
Tacoma, WA 98409-7702
Phone (253) 735-4282

Other names 1

  • Puget Sound Home Health of King County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170612002313 WA Part A Provider - Home Health Agency 9931477130 Practice locations: Tacoma, WA

Home health agency certification: CCN 507122

Legal name
EMERALD HEALTHCARE, INC.
Doing business as
PUGET SOUND HOME HEALTH OF KING COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 8, 2013
Last certification
Jun 7, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 3, 2017 in WA
Enrollment address
4002 Tacoma Mall Blvd
Ste 204a
Tacoma, WA 98409-7702
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Puget Sound Home Health of King CountyCCN 507122
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 8, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4002 Tacoma Mall Blvd
Ste 204A
Tacoma, WA 98409
Phone (253) 735-4282

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Devin Rothwell Individual W-2 Managing EmployeeAdministrator Aug 30, 2019
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest May 1, 2017 100%
Brent Mills Individual Corporate OfficerTreasurer Apr 10, 2026
Brent Guerisoli Individual Corporate DirectorDirector and Sole Board Member Dec 7, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
John J Gochnour Individual Corporate OfficerPresident Apr 3, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 3, 2024

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1710410964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TACOMA MALL BLVD STE 204A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097702",
            "telephone_number": "253-735-4282",
            "fax_number": "253-833-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 TACOMA MALL BLVD STE 204A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097702",
            "telephone_number": "253-735-4282",
            "fax_number": "253-833-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Home Health of King County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.