Organization Active NPI

Three Rivers Care LLC

Doing business as Three Rivers Care

  • Skilled Nursing Facility
  • Centralia, WA
National Provider Identifier
1730986027
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THREE RIVERS CARE LLC
Doing business as
Three Rivers Care
Practice address
1305 Alexander St
Centralia, WA 98531-1305
Phone
(360) 736-2823
NPI assigned
Feb 25, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Raphael Oscherowitz
Title
Manager
Phone
(253) 251-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1305 Alexander St
Centralia, WA 98531-1305

Mailing address

3220 Rosedale St Ste 200
Gig Harbor, WA 98335-1837

Other names 1

  • THREE RIVERS CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613002993 WA Part A Provider - Skilled Nursing Facility 3577074871 Practice locations: Centralia, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730986027. Details of each certification follow.

Skilled nursing facility certification: CCN 505536

Legal name
THREE RIVERS CARE LLC
Doing business as
THREE RIVERS CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 15, 2025
Last certification
Dec 10, 2024
Beds
83
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Caldera Care
Organization structure
LLCProprietary
Enrollment address
1305 Alexander St
Centralia, WA 98531-1305
Nursing home name
THREE RIVERS CARE
Affiliated entity
CALDERA CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Three Rivers CareCCN 505536 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 15, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8357.0 residents per day on average
Chain
Caldera Care6 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 9

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

NameRoleSinceShare
KH7 HH CDW Organization, Gig Harbor, WA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 21, 2025 50%
Chaim Wolmark Individual 5% Or Greater Indirect Ownership Interest May 21, 2025 50%
Corporate OfficerManager May 21, 2025
Operational/Managerial Control May 21, 2025
Adp of the SNF May 21, 2025
Ashley Hogue Individual Operational/Managerial Control Mar 18, 2014
Adp of the SNF Mar 18, 2014
Pauline McDaniel Individual Operational/Managerial Control Apr 24, 2023
Adp of the SNF Apr 24, 2023
KH7 Ops LLC Organization, Gig Harbor, WA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 21, 2025 50%
1305 Alexander Propco, LLC Organization, Gig Harbor, WA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest May 21, 2025
Adp of the SNF May 21, 2025
Raphael Oscherowitz Individual 5% Or Greater Indirect Ownership Interest May 21, 2025 50%
Corporate OfficerManager May 21, 2025
Operational/Managerial Control May 21, 2025
Adp of the SNF May 21, 2025
KH7 Propco Holdings LLC Organization, Gig Harbor, WA LLC, Holding company Adp of the SNF May 21, 2025
KH7 Healthcare Holdings, LLC Organization, Gig Harbor, WA Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 21, 2025 100%

Facilities with the same owner 3

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.

Affiliated clinicians 2

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": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1730986027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 ALEXANDER ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311305",
            "telephone_number": "360-736-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "OSCHEROWITZ",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-251-9300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE RIVERS CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.