Active NPI
Enumclaw SNF Operations, LLC
Doing business as Enumclaw Health & Rehabilitation Center
- Skilled Nursing Facility
- Enumclaw, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ENUMCLAW SNF OPERATIONS, LLC
- Doing business as
- Enumclaw Health & Rehabilitation Center
- Practice address
- 2323 Jensen St
Enumclaw, WA 98022-3605 - Phone
- (360) 825-2541
- NPI assigned
- Jan 11, 2023
- Last updated
- Sep 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchok Yenowitz
- Title
- Authorized Representative
- Phone
- (323) 333-0910
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary | |
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Registered Respiratory Therapist | 227900000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
2323 Jensen St
Enumclaw, WA 98022-3605
Mailing address
1777 Avenue of the States Ste 102
Lakewood, NJ 08701-4779
Phone (732) 366-8300
Other names 1
- Enumclaw Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231023002753 | WA | Part A Provider - Skilled Nursing Facility | 9830545144 | Practice locations: Enumclaw, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821702093. Details of each certification follow.
Skilled nursing facility certification: CCN 505400
- Legal name
- ENUMCLAW SNF OPERATIONS LLC
- Doing business as
- ENUMCLAW HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1991
- Last certification
- May 16, 2024
- Beds
- 92
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Evergreen Healthcare Corporation
- Most recent change of ownership
- Aug 31, 2023
- Organization structure
- LLC
- Enrollment address
- 2323 Jensen St
Enumclaw, WA 98022-3605 - Nursing home name
- ENUMCLAW HEALTH AND REHABILITATION
- Affiliated entity
- EVERGREEN HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Enumclaw Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 1991
- Medicare certification status
- Active
- Certified beds
- 92
- Chain
- Evergreen Healthcare Group
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Indirect Ownership Interest | Aug 31, 2023 | 1% | |
| Witzcorp Global LLC | Adp of the SNF | Aug 31, 2023 | |
| Indirect Ownership Interest | Aug 31, 2023 | 25% | |
| Pacific Northwest SNF Operations Holdings LLC | Indirect Ownership Interest | Aug 31, 2023 | 100% |
| Couve Healthcare Consulting LLC | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Apr 23, 2025 | ||
| Couve Financial Services LLC | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Aug 31, 2023 | ||
| Stephanie Fields | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Aug 31, 2023 | ||
| Indirect Ownership Interest | Aug 31, 2023 | 3% | |
| Pacific Northwest SNF Operations Holdings (Wa) LLC | Direct Ownership Interest | Aug 31, 2023 | 100% |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Apr 22, 2025 | ||
| Washington SNF Consulting LLC | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Apr 25, 2025 | ||
| Lowell Bryce Barrowes | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Aug 31, 2023 | ||
| Indirect Ownership Interest | Aug 31, 2023 | 2.25% | |
| Indirect Ownership Interest | Aug 31, 2023 | 1% | |
| Yitzchok Yenowitz | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Aug 31, 2023 | ||
| Indirect Ownership Interest | Aug 31, 2023 | 25% | |
| Yisroel E Herzka | Adp of the SNF | Aug 31, 2023 | |
| Indirect Ownership Interest | Aug 31, 2023 | 66.5% | |
| Winnie Chua | Managing Control - Governing Body | Aug 31, 2023 | |
| Adp of the SNF | Aug 31, 2023 | ||
| Indirect Ownership Interest | Aug 31, 2023 | 2.25% | |
| Shimon Spielman | Corporate Officer | Aug 31, 2023 | |
| Operational/Managerial Control | Aug 31, 2023 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Jason Odenthal | Operational/Managerial Control | Aug 31, 2023 | |
| Managing Control - Governing Body | Aug 31, 2023 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| CH Pacific Northwest Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 31, 2023 | 66.5% |
| Adp of the SNF | Aug 31, 2023 | ||
| Indirect Ownership Interest | Aug 31, 2023 | 66.5% | |
| Leonico G Panlasigui | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Aug 31, 2023 | ||
| Enumclaw SNF Operations LLC | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Jun 2, 2025 | ||
| Direct Ownership Interest | Aug 31, 2023 | ||
| Adp of the SNF | Aug 31, 2023 | ||
| Indirect Ownership Interest | Aug 31, 2023 | 3% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1063496958
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 51
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Alaska Gardens Health and Rehabilitation Center
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1033795315
Couve Healthcare Consulting LLC
-
dba Americana Health & Rehabilitation Center
- Skilled Nursing Facility
- Longview, WA
- NPI 1528772787
CH Pacific Northwest Holdings LLC, Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
dba Buena Vista Healthcare
- Skilled Nursing Facility
- Colville, WA
- NPI 1972217131
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Canterbury House
- Skilled Nursing Facility
- Auburn, WA
- NPI 1679287841
CH Pacific Northwest Holdings LLC, Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
dba Frontier Rehabilitation & Extended Care Center
- Skilled Nursing Facility
- Longview, WA
- NPI 1801500079
CH Pacific Northwest Holdings LLC, Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
dba Heartwood Extended Healthcare
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1215576186
Couve Healthcare Consulting LLC
-
dba North Cascades Health & Rehabilitation Center
- Skilled Nursing Facility
- Bellingham, WA
- NPI 1891409066
CH Pacific Northwest Holdings LLC, Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
- Skilled Nursing Facility
- Spokane, WA
- NPI 1154035327
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Seattle Medical Post Acute Care
- Skilled Nursing Facility
- Seattle, WA
- NPI 1144934316
Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
dba Shelton Health & Rehabilitation Center
- Skilled Nursing Facility
- Shelton, WA
- NPI 1861106049
Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
dba Transitional Care Center of Seattle
- Skilled Nursing Facility
- Seattle, WA
- NPI 1730894593
CH Pacific Northwest Holdings LLC, Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC
-
- Skilled Nursing Facility
- Seattle, WA
- NPI 1952940827
Couve Healthcare Consulting LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1063496958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1821702093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 AVENUE OF THE STATES STE 102",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014779",
"telephone_number": "732-366-8300",
"fax_number": "732-523-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 JENSEN ST",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223605",
"telephone_number": "360-825-2541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENUMCLAW SNF OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-11",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "YENOWITZ",
"authorized_official_first_name": "YITZCHOK",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "323-333-0910"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enumclaw Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Enumclaw Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enumclaw, WA
- Enumclaw Radiologists PLLC
- Enumclaw Regional Hospital Association (St. Elizabeth Hospital)
- Enumclaw Regional Hospital Association (St. Elizabeth Anesthesia Group)
- Enumclaw Regional Hospital Association (St Elizabeth Hosptial)
- Enumclaw School District
- Enumclaw Vision Clinic PLLC
- Jennifer Marie Erickson, PA-C
- Kelli Michelle Espinosa
- Katie Etherington, CNM, WHNP-BC
- Evergreen Eye Center, PLLC (Evergreen Eye Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.