NPIMap

Organization Active NPI

Sea Mar Community Health Centers

Doing business as Sea Mar Home Health

  • Home Health Agency
  • Seattle, WA
National Provider Identifier
1861538928
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-433 Issued in WA
Legal business name
SEA MAR COMMUNITY HEALTH CENTERS
Doing business as
Sea Mar Home Health
Practice address
8915 14TH Ave S
Seattle, WA 98108-4813
Phone
(206) 764-4717
Fax
(206) 764-8072
NPI assigned
Jan 29, 2007
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Mary E Bartolo
Title
Executive Vice President
Phone
(206) 763-5277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-433 WA Primary
Home Health Agency 251E00000X NU

Addresses

Primary practice location

8915 14TH Ave S
Seattle, WA 98108-4813

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-3335

Other identifiers 2

IdentifierTypeStateIssuer
1020887MedicaidWA
9524703MedicaidWA

Other names 2

  • Sea Mar Home Health Doing business as
  • Sea-Mar Community Health Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000818 WA Part A Provider - Home Health Agency 7315831161 Practice locations: Seattle, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861538928. Details of each certification follow.

Home health agency certification: CCN 507052

Legal name
SEA MAR COMMUNITY HEALTH CENTERS
Doing business as
SEA MAR HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 1982
Last certification
Dec 8, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
8915 14TH Ave S
Seattle, WA 98108-4813

Facilities connected through Provider of Services related, parent or unit certification numbers.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sea Mar Home HealthCCN 507052 · All quality measures
Overall star rating
1 of 5
Ownership
Non-Profit
Certified
Mar 17, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Sea Mar Marysville Medi279 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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Juan Enrique Garza Individual Corporate DirectorBoard Member Aug 6, 2024
Daniela Diaz de la Vega Gonzales Individual Corporate DirectorBoard Member Jun 6, 2023
Mary Bartolo Individual Corporate OfficerExecutive Vice President Jun 1, 1978
Agustin Delgado Individual Corporate DirectorBoard Member Mar 13, 2013
Kristina Kathleen Hoeschen Individual W-2 Managing EmployeeChief Compliance Officer May 1, 2017
Ricardo Gasca Individual Corporate DirectorBoard Member Oct 16, 2016
Gregory J Ma Individual Corporate DirectorBoard Member Sep 1, 1982
Bertha Michelle Danley Individual Corporate DirectorBoard Member Nov 1, 2001
Felipe Trinidad-Martinez Individual Corporate DirectorBoard Member May 1, 2008
Erasmo Gamboa Individual Corporate DirectorBoard Member Apr 14, 2010
Rogelio Riojas Individual Corporate OfficerCeo Jun 19, 1978
Silverio Vivanco-Sanchez Individual Corporate DirectorBoard Member May 1, 2008
Jesus R Sanchez Individual Corporate OfficerBoard Member Feb 4, 2025

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sea Mar CHC-Vashon IslandVashon, WA, CCN 941082 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 19, 1978
Sea Mar Community Health CentersSpanaway, WA, CCN 941095 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 19, 1978

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1861538928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084813",
            "telephone_number": "206-764-4717",
            "fax_number": "206-764-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA MAR COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "BARTOLO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "206-763-5277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-433",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020887",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9524703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Mar Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sea Mar Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sea-Mar Community Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.