NPIMap

Organization Active NPI

MBB Brewster LLC

  • Skilled Nursing Facility
  • Brewster, WA
National Provider Identifier
1720060908
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1536 Issued in WA
Legal business name
MBB BREWSTER LLC
Practice address
100 River Plaza
Brewster, WA 98812-0829
Phone
(509) 689-2546
Fax
(509) 689-3350
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Mr. Marvin B Beddoe
Title
Ceo
Phone
(425) 392-4066

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH688 WA
Skilled Nursing Facility 314000000X NH1416 WA
Skilled Nursing Facility 314000000X 1536 WA Primary

Addresses

Primary practice location

100 River Plaza
Brewster, WA 98812-0829

Mailing address

3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066

Other identifiers 3

IdentifierTypeStateIssuer
4115361MedicaidWA
4114161MedicaidWA
4168803MedicaidWA

Other names 1

  • Regency Harmony House Rehabilitation and Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160711001217 WA Part A Provider - Skilled Nursing Facility 9032401112 Practice locations: Brewster, WA

Skilled nursing facility certification: CCN 505430

Legal name
MBB BREWSTER LLC
Doing business as
REGENCY HARMONY HOUSE REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1992
Last certification
Sep 11, 2024
Beds
54
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Regency Pacific MAnagement
Organization structure
LLCProprietary
Incorporated
Jan 18, 2016 in WA
Enrollment address
100 River Plaza
Brewster, WA 98812-0829
Nursing home name
REGENCY HARMONY HOUSE REHAB & NURSING
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency Harmony House Rehab & NursingCCN 505430
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5449.2 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Regency Pacific Management LLC Organization, Bellevue, WA Management services company 5% Or Greater Direct Ownership Interest Apr 1, 2010 100%
Operational/Managerial Control Jun 1, 2016 100%
Marvin B Beddoe Individual 5% Or Greater Direct Ownership Interest Jan 18, 2016 100%
Jerry R Tretwold Individual 5% Or Greater Direct Ownership Interest Sep 1, 1979 50%
Operational/Managerial ControlAdministrator Jun 1, 2016 100%

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1720060908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066",
            "fax_number": "425-623-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PLAZA",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120829",
            "telephone_number": "509-689-2546",
            "fax_number": "509-689-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBB BREWSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-392-4066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH688",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1416",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115361",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114161",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4168803",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Harmony House Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, WA

Sources for this page

Verify at the official NPI Registry.