Organization Active NPI

Emerald Care

  • Skilled Nursing Facility
  • Wapato, WA
National Provider Identifier
1851386122
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH1366 Issued in WA
Legal business name
EMERALD CARE
Practice address
209 N Ahtanum Ave
Wapato, WA 98951-1125
Phone
(509) 877-3175
Fax
(509) 877-6135
NPI assigned
Sep 13, 2005
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mr. Michael Hoon
Title
Administrator
Phone
(509) 877-3175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH1366 WA Primary

Addresses

Primary practice location

209 N Ahtanum Ave
Wapato, WA 98951-1125

Mailing address

209 N Ahtanum Ave
Wapato, WA 98951-1125
Phone (509) 877-3175

Other identifiers 2

IdentifierTypeStateIssuer
0025300MedicaidWA
4113668MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000296 WA Part A Provider - Skilled Nursing Facility 9830095975 Practice locations: Wapato, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851386122. Details of each certification follow.

Skilled nursing facility certification: CCN 505265

Legal name
EMERALD CARE
Doing business as
EMERALD CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1982
Last certification
Feb 4, 2025
Beds
82
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
209 N Ahtanum Avenue
Wapato, WA 98951-1125
Nursing home name
EMERALD CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Emerald CareCCN 505265 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8274.0 residents per day on average
Penalties (3 years)
1Fines totaling $8,278

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
50D0638690Emerald Care209 N Ahtanum Ave, Wapato, WA 98951Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Michelle Bonus Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Reynaldo Pascua Individual Corporate Director Dec 10, 2003
Kelly Hoon Individual Corporate DirectorAdministrative Director May 18, 2019 100%
Operational/Managerial Control May 18, 2018
Paul E Emmans Individual Operational/Managerial Control Feb 4, 2014
Adp of the SNF Sep 3, 2013
Michael Hoon Individual Corporate DirectorBoard President May 21, 2025 100%

Owners & managing parties with NPI records 1

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

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.

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1851386122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N AHTANUM AVE",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511125",
            "telephone_number": "509-877-3175",
            "fax_number": "509-877-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N AHTANUM AVE",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511125",
            "telephone_number": "509-877-3175",
            "fax_number": "509-877-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "HOON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-877-3175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025300",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113668",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapato, WA

Sources for this page

Verify at the official NPI Registry.