NPIMap

Organization Active NPI

Encore Home Health, LLC

  • Home Health Agency
  • Silverdale, WA
National Provider Identifier
1902369606
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENCORE HOME HEALTH, LLC
Practice address
12169 Country Meadows LN NW
Silverdale, WA 98383-9550
Phone
(360) 360-2050
NPI assigned
Apr 9, 2019
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Jacob Schaefer
Title
Executive Vice President
Phone
(503) 201-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

12169 Country Meadows LN NW
Silverdale, WA 98383-9550

Mailing address

1220 20TH St SE Ste 310
Salem, OR 97302-1205
Phone (503) 766-3161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210821000030 WA Part A Provider - Home Health Agency 3173959251 Practice locations: Silverdale, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902369606. Details of each certification follow.

Home health agency certification: CCN 507134

Legal name
ENCORE HOME HEALTH LLC
Doing business as
ALECA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 5, 2021
Last certification
May 5, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 11, 2015 in WA
Enrollment address
2400 Schold Place NW
Silverdale, WA 98383-9504

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aleca Home HealthCCN 507134 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 5, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
50D2274143Aleca Home Health2400 NW Schold PL, Silverdale, WA 98383Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

12169 Country Meadows Ln NW
Silverdale, WA 98383
Phone (360) 360-2050

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Sterling E Short Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 5.55%
Sante Holdings LLC Organization, Salem, OR 5% Or Greater Indirect Ownership Interest Dec 18, 2020 100%
Jacob T Schaefer Individual 5% Or Greater Indirect Ownership InterestExecutive VP & Cfo Dec 18, 2020 18.82%
Corporate OfficerExecutive VP & Cfo Dec 18, 2020
Roger Rosado Individual W-2 Managing EmployeeAd; Feb 5, 2024
Jacqueline J Short Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 5.55%
Munch Tooke, LLC Organization, Vancouver, WA LLC 5% Or Greater Indirect Ownership Interest Dec 18, 2020 8.2%
Charles M Hansen Individual 5% Or Greater Indirect Ownership InterestCeo Dec 18, 2020 44.04%
Operational/Managerial ControlCeo Dec 18, 2020
Sante Partners II LLC Organization, Salem, OR LLC 5% Or Greater Direct Ownership Interest Dec 18, 2020 100%
Gregory S Ficek Individual Operational/Managerial ControlVice President; Corporate Contro Dec 18, 2020
Sterling & Jacqueline Holdings,LLC Organization, Clayton, MO LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022 11.1%

Facilities with the same owner 8

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

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1902369606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 20TH ST SE STE 310",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021205",
            "telephone_number": "503-766-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12169 COUNTRY MEADOWS LN NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839550",
            "telephone_number": "360-360-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-201-8356"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.