NPIMap

Organization Active NPI

Virginia Mason Medical Center

Doing business as Bailey-Boushay House

  • Skilled Nursing Facility
  • Seattle, WA
National Provider Identifier
1720073604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH-1106 Issued in WA
Legal business name
VIRGINIA MASON MEDICAL CENTER
Doing business as
Bailey-Boushay House
Practice address
2720 E Madison St
Seattle, WA 98112-4739
Phone
(206) 322-5300
Fax
(206) 720-2299
NPI assigned
Sep 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Knowles
Title
Executive Director
Phone
(206) 720-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH-1106 WA Primary

Addresses

Primary practice location

2720 E Madison St
Seattle, WA 98112-4739

Mailing address

2720 E Madison St
Seattle, WA 98112-4739
Phone (206) 322-5300

Other names 1

  • Bailey-Boushay House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000662 WA Part A Provider - Skilled Nursing Facility 9830002617 Practice locations: Seattle, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720073604. Details of each certification follow.

Skilled nursing facility certification: CCN 505476

Legal name
VIRGINIA MASON MEDICAL CENTER
Doing business as
BAILEY-BOUSHAY HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 25, 1992
Last certification
May 20, 2024
Beds
35
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Virginia Mason Franciscan Health
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 1934 in WA
Enrollment address
2720 E Madison St
Seattle, WA 98112-4739
Nursing home name
BAILEY-BOUSHAY HOUSE
Affiliated entity
COMMONSPIRIT HEALTH

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bailey-Boushay HouseCCN 505476 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 25, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3527.9 residents per day on average
Chain
Commonspirit Health18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0910799Bailey-Boushay House2720 E Madison, Seattle, WA 98112Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Virginia Mason Redmond42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Robert Carlile Individual Corporate DirectorBoard Member Jan 1, 2021
Diann E Puls Individual Corporate DirectorBoard Member Jan 1, 2021
Marvin O'Quinn Individual Corporate DirectorBoard Member Jan 1, 2021
Uli Han-Hsiang CHI Individual Corporate DirectorBoard Member Jan 1, 2021
Dorothy Mann Individual Corporate OfficerN/a Jun 11, 2015
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 50%
Gregg S Meyer Individual Corporate Officer Jan 1, 2016
Robert Lemon Individual Corporate OfficerN/a Jun 11, 2015
Kristi Pangrazio Individual Corporate OfficerN/a Jun 11, 2015
Virignia Mason Franciscan Health Organization, Chicago, IL Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2021
James Orlikoff Individual Corporate OfficerN/a Jun 11, 2015
Michelle Griffin Individual Corporate OfficerN/a Jun 11, 2015
Patricia Rasco Individual W-2 Managing EmployeeN/a Apr 9, 2015
Operational/Managerial ControlManager Jun 11, 2015
John F Oppenheimer Individual Corporate Officer Jan 1, 2016
Virginia Mason Health System Organization, Seattle, WA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 50%
Carolyn Corvi Individual Corporate Officer Jun 12, 2015
Mary McWilliams Individual Corporate Officer Jan 1, 2015
Gary S Kaplan Individual Corporate OfficerN/a Apr 9, 2015
Julianne M Morath Individual Corporate OfficerN/a Jun 11, 2015
James Young Individual Corporate OfficerN/a Jun 11, 2015
Joshua Green Individual Corporate OfficerN/a Jun 11, 2015
Brian Knowles Individual Corporate DirectorN/a Jun 11, 2015
W-2 Managing EmployeeN/a Apr 1, 2007
Operational/Managerial ControlN/a Jun 11, 2015
Craig W Goodrich Individual Corporate Officer Jan 1, 2018
Corporate DirectorBoard Member Jan 1, 2018
Michael a Hoffman Individual Corporate DirectorBoard Member Jan 1, 2021
Alfred E Lopus Individual Corporate OfficerN/a Jun 11, 2015
Ruth Elizabeth Goodwin Individual Corporate DirectorBoard Member Jan 1, 2021
Dennis Joseph Hunthausen Individual Corporate DirectorBoard Member Jan 1, 2021
Tod Hamachek Individual Corporate Officer Jun 11, 2015

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720073604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124739",
            "telephone_number": "206-322-5300",
            "fax_number": "206-720-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124739",
            "telephone_number": "206-322-5300",
            "fax_number": "206-720-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MASON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-720-2244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH-1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey-Boushay House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.