Organization Active NPI

Hoquiam Healthcare, Inc.

Doing business as Pacific Care and Rehabilitation

  • Skilled Nursing Facility
  • Hoquiam, WA
National Provider Identifier
1902892615
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1347 Issued in WA
Legal business name
HOQUIAM HEALTHCARE, INC.
Doing business as
Pacific Care and Rehabilitation
Practice address
3035 Cherry St
Hoquiam, WA 98550-3007
Phone
(360) 532-7882
Fax
(360) 537-7216
NPI assigned
Sep 27, 2005
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Mrs. Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1347 WA Primary

Addresses

Primary practice location

3035 Cherry St
Hoquiam, WA 98550-3007

Mailing address

3035 Cherry St
Hoquiam, WA 98550-3007
Phone (360) 532-7882

Other identifiers 1

IdentifierTypeStateIssuer
4113965MedicaidWA

Other names 1

  • Pacific Care and Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000262 WA Part A Provider - Skilled Nursing Facility 0840206660 Practice locations: Hoquiam, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902892615. Details of each certification follow.

Skilled nursing facility certification: CCN 505081

Legal name
HOQUIAM HEALTHCARE, INC.
Doing business as
PACIFIC CARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 8, 1972
Last certification
May 23, 2025
Beds
72
Ownership / control type
Corporation
Multi-facility organization
Pennant Healthcarer Inc
Most recent change of ownership
Aug 1, 2006
Organization structure
LLCProprietary
Incorporated
Jan 3, 2006 in NV
Enrollment address
3035 Cherry St
Hoquiam, WA 98550-3007
Nursing home name
PACIFIC CARE AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pacific Care and RehabilitationCCN 505081 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 8, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7265.4 residents per day on average
Chain
The Ensign Group342 facilities in the chain

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
50D0713993Pacific Care and Rehabilitation3035 Cherry St, Hoquiam, WA 98550Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Neel Ramesh Chheda Individual Operational/Managerial Control Aug 1, 2023
Managing Control - Governing BodyMedical Director Aug 1, 2023
Adp of the SNF Jul 9, 2025
Steve M Ross Individual Corporate OfficerPresident Hoquiam Healthcare, Inc. Jan 1, 2024
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Aug 13, 2013 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jul 22, 2011 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Feb 1, 2006
Ami Sato Individual Corporate OfficerTreasurer Hoquiam Healthcare, Inc. Sep 9, 2024
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Aug 1, 2006
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Aug 1, 2006
CMG Cit Acquisition, LLC Organization, Nashville, TN Corporation Operational/Managerial Control Aug 1, 2006
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Aug 1, 2006
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Mark Cheney Individual Operational/Managerial ControlAdministrator Mar 6, 2019
Managing Control - Governing BodyAdministrator Mar 6, 2019
Adp of the SNF Mar 6, 2019
Stephen W Farnsworth Individual Corporate OfficerDirector Hoquiam Healthcare, Inc. Jan 1, 2023
Cherry Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Aug 1, 2006
Soon Burnam Individual Corporate OfficerSecretary Hoquiam Healthcare, Inc. Jan 3, 2006
Adp of the SNF Mar 11, 2026

Owners & managing parties with NPI records 1

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

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 2

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 5

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": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1902892615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 CHERRY ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503007",
            "telephone_number": "360-532-7882",
            "fax_number": "360-537-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 CHERRY ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503007",
            "telephone_number": "360-532-7882",
            "fax_number": "360-537-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOQUIAM HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113965",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoquiam, WA

Sources for this page

Verify at the official NPI Registry.