NPIMap

Organization Active NPI

Multicare Health System

Doing business as MultiCare Good Samaritan Hospice

  • Community Based Hospice Care Agency
  • Tacoma, WA
National Provider Identifier
1760474241
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IS302 Issued in WA
Legal business name
MULTICARE HEALTH SYSTEM
Doing business as
MultiCare Good Samaritan Hospice
Practice address
1313 Broadway Ste 200
Tacoma, WA 98402-3400
Phone
(253) 301-6400
NPI assigned
Aug 19, 2005
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
William Glenn Robertson
Title
Ceo
Phone
(253) 403-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IS302 WA Primary

Addresses

Primary practice location

1313 Broadway Ste 200
Tacoma, WA 98402-3400

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299

Other identifiers 2

IdentifierTypeStateIssuer
2012298MedicaidWA
501508OtherWAMEDICARE PROVIDER NUMBER

Other names 1

  • MultiCare Good Samaritan Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110526000797 WA Part A Provider - Hospice 7719899897 Practice locations: Spokane, WA; Tacoma, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760474241. Details of each certification follow.

Hospice certification: CCN 501508

Legal name
MULTICARE HEALTH SYSTEM
Doing business as
MULTICARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 27, 1984
Last certification
Jul 30, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jul 29, 1986 in WA
Enrollment address
1313 Broadway
Ste 200
Tacoma, WA 98402-3400

Care Compare: Hospice

Medicare Care Compare
Listed as
Multicare HospiceCCN 501508 · All quality measures
Ownership
Non-Profit
Certified
Sep 27, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
MMG Westgate Urgent Car99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

104 23rd Ave SE
#A
Puyallup, WA 98372
Phone (253) 770-5151

16515 Meridian E
#201
Puyallup, WA 98375
Phone (253) 697-8141

16515 Meridian E
Ste 201
Puyallup, WA 98375
Phone (253) 697-8141

615 E Pioneer
Puyallup, WA 98372
Phone (253) 697-3930

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Donald Thompson Individual W-2 Managing EmployeeAdministrator May 3, 2023
William G Robertson Individual Corporate OfficerCeo Apr 1, 2014
W-2 Managing EmployeeCeo Apr 1, 2014
Melissa Chubbuck Individual W-2 Managing EmployeeMedical Director May 3, 2023
Leslie Dale Sowell Individual Corporate DirectorBoard Member Apr 1, 2011
Robert Yost Individual Corporate DirectorBoard Member Sep 20, 2006
John Wiborg Individual Corporate DirectorBoard Member, Chair Apr 1, 2011
Tariq Salam Individual Corporate Director Nov 1, 2020
W-2 Managing Employee Nov 1, 2020
James Gyeong-Jin Lee Individual Corporate OfficerExec VP & Cfo Jun 1, 2022
W-2 Managing EmployeeExec VP & Cfo Jun 1, 2022
Tara Perry Individual Corporate Director Aug 25, 2021
Florence Chang Individual Corporate OfficerExec VP & Coo Jan 1, 2015
W-2 Managing Employee Jan 1, 2015
Robin J Thomashauer Individual Corporate Director Nov 1, 2020
Janine Terrano Individual Corporate DirectorBoard Member May 24, 2013
Frank Tombari Individual Corporate Director Jan 28, 2002
Deedee Walkey Individual Corporate DirectorBoard Member, Vice Chair Apr 1, 2011
Lynn Siedenstrang Individual W-2 Managing EmployeeVP Care Continuum Apr 1, 2017
Sally Leighton Individual Corporate DirectorBoard Member, Secretary Apr 1, 2011
Multicare Health System Organization, Tacoma, WA Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2011 100%
Operational/Managerial Control Apr 1, 2011 100%
Joanna Monroe Individual Corporate Director Mar 27, 2024

Owners & managing parties with NPI records 2

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

  • Tariq Salam, MD
    • Clinical Cardiac Electrophysiology Physician
    • Tacoma, WA
    • NPI 1043294291

    Corporate Director, W-2 Managing Employee

    CMS ownership
  • Melissa Chubbuck
    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Denver, CO
    • NPI 1477907384

    W-2 Managing Employee

    CMS ownership

All facility ownership & control disclosures 22

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tacoma General/Allenmore HospitalTacoma, WA, CCN 500129 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 1986
Mary Bridge Children's HospitalTacoma, WA, CCN 503301 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
West Seattle Psychiatric HospitalSeattle, WA, CCN 504009 Hospital 5% Or Greater Indirect Ownership Interest (100%) May 1, 2017
Overlake Medical Center & ClinicsBellevue, WA, CCN 500051 Hospital Operational/Managerial Control (100%) Oct 1, 2024
Overlake Medical Center & ClinicsBellevue, WA, CCN 50S051 Hospital Operational/Managerial Control (100%) Oct 1, 2024
Yakima Valley MemorialYakima, WA, CCN 500036 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare Good Samaritan HospitalPuyallup, WA, CCN 500079 Hospital 5% Or Greater Direct Ownership Interest (100%) May 16, 2011
Multicare Good Samaritan HospitalPuyallup, WA, CCN 50T079 Hospital 5% Or Greater Direct Ownership Interest Apr 1, 2011
Yakima Valley Memorial Hospital AssociationYakima, WA, CCN 50S036 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare Auburn Medical CenterAuburn, WA, CCN 500015 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Multicare Behavioral Health Inpatient Services-AuburnAuburn, WA, CCN 50S015 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Multicare Valley HospitalSpokane Valley, WA, CCN 500119 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2017
Multicare Deaconess HospitalSpokane, WA, CCN 500044 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Multicare Covington Medical CenterCovington, WA, CCN 500154 Hospital 5% Or Greater Direct Ownership Interest Feb 18, 2018
Wellfound Behavioral Health HospitalTacoma, WA, CCN 504016 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2016
Multicare Capital Medical CenterOlympia, WA, CCN 500139 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 5, 2021
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2010
Avalon Healthcare - TacomaTacoma, WA, CCN 505183 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (50%)		 Aug 1, 2024
Aug 1, 2024
Multicare Home HealthTacoma, WA, CCN 507046 Home health agency 5% Or Greater Direct Ownership Interest Sep 21, 2007
Memorial Home Care ServicesYakima, WA, CCN 507028 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Memorial Home Care / Hospice ServicesYakima, WA, CCN 501531 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
PNW Hospice LLCTacoma, WA, CCN 501555 Hospice 5% Or Greater Direct Ownership Interest (100%) May 3, 2023

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 4

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 1

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": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1760474241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BROADWAY STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023400",
            "telephone_number": "253-301-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-403-1272"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "IS302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012298",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "501508",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MultiCare Good Samaritan Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MultiCare Good Samaritan Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.