Eliseo

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH601 Issued in WA

Legal business name

ELISEO

Practice address

1301 N Highlands Pkwy
Tacoma, WA 98406-2116

Phone

(253) 752-7112

Fax

(253) 752-7265

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Hoffman

Title

Vice President of Finance

Phone

(253) 756-7565

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tacoma Lutheran Home and Retirement Community Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505435

Legal name

ELISEO

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1992

Last certification

May 9, 2025

Beds

189 (187 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 17, 1976 in WA

Enrollment address

1301 N Highlands Pkwy
Tacoma, WA 98406-2116

Nursing home name

ELISEO

Listed as

EliseoCCN 505435

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

187124.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Bruce, DO

  • General Practice Physician
  • Lacey, WA
  • NPI 1295272433
  NPD (past)
• Don Nguyen

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1720344617
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jared Bruce, DO

  • General Practice Physician
  • Lacey, WA
  • NPI 1295272433

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1891817342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HIGHLANDS PKWY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062116",
            "telephone_number": "253-752-7112",
            "fax_number": "253-752-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HIGHLANDS PKWY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062116",
            "telephone_number": "253-752-7112",
            "fax_number": "253-752-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISEO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "253-756-7565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH1187",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4160107",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Lutheran Home and Retirement Community",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole Elford, BSS
• Amanda Elftman
• Alaa Elgharabawi, MD
• Thomas Joseph Elias, D.D.S.
• Victoria L.P. Elijah, PHARM.D.
• Elite Medical Inc
• Elite Physical Therapy Group, LLC
• Elizabeth Cook MD PC
• Elizabeth'S Holistic Health
• Vicki Elaine Elkins, LMP

• Skilled Nursing Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.