Martha and Mary Health Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1216 Issued in WA

Legal business name

MARTHA AND MARY HEALTH SERVICES

Practice address

19160 Front St NE
Poulsbo, WA 98370-0127

Phone

(360) 779-7500

NPI assigned

Aug 1, 2005

Last updated

Jun 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lynette L Ladenburg

Title

Ceo

Phone

(360) 779-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710988753. Details of each certification follow.

• CCN 505474A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 505474A

Legal name

MARTHA AND MARY HEALTH SERVICES

Organization structure

OtherNon-profit

Incorporated

Jan 23, 1995 in WA

Enrollment address

19160 Front St NE
Poulsbo, WA 98370-0127

Nursing home name

MARTHA AND MARY HEALTH SERVICE

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Donald L Sharman, MD

  • Internal Medicine Physician
  • Bremerton, WA
  • NPI 1851331318

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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.

• Julie A Schmitt, RN ARNP

  • Nurse Practitioner
  • Gig Harbor, WA
  • NPI 1093574980
  NPD (past)
• Donald L Sharman, MD

  • Internal Medicine Physician
  • Bremerton, WA
  • NPI 1851331318
  NPD (past)
• Debra D. Thompson, ARNP

  • Adult Health Nurse Practitioner
  • Seattle, WA
  • NPI 1497770531
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1710988753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19160 FRONT ST NE",
            "address_2": "PO BOX 127",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700127",
            "telephone_number": "360-779-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19160 FRONT ST NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700127",
            "telephone_number": "360-779-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA AND MARY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "LADENBURG",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-779-7500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE",
            "identifier": "1216",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Magwire, FNP
• Marie Maldonado Robert
• Nicholas Maniatis, DMD
• Susan Lynn Marra, ND
• Martha & Mary Home and Community Services
• Martha and Mary Lutheran Services
• Nicholas Martinez
• Amy Matchell
• Marie E. Matty, M.D.
• Charles M May, MD PC

• Skilled Nursing Facility in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.