Active NPI
North Central Care Center, Inc.
- Skilled Nursing Facility
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1144
- Legal business name
- NORTH CENTRAL CARE CENTER, INC.
- Practice address
- 1812 N Wall Street
Spokane, WA 99205-4606 - Phone
- (509) 328-6030
- Fax
- (509) 327-7026
- NPI assigned
- Sep 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Myers
- Title
- VP of Clinical Services
- Phone
- (509) 328-6030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1144 | WA | Primary |
Addresses
Primary practice location
1812 N Wall Street
Spokane, WA 99205-4606
Mailing address
1812 N Wall Street
Spokane, WA 99205-4606
Phone (509) 328-6030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4111449 | Medicaid | WA |
Other names 1
- North Central Care and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110422000169 | WA | Part A Provider - Skilled Nursing Facility | 0244415941 | Practice locations: Spokane, WA |
Skilled nursing facility certification: CCN 505441
- Legal name
- NORTH CENTRAL CARE CENTER, INC.
- Doing business as
- NORTH CENTRAL CARE AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1992
- Last certification
- Mar 29, 2024
- Beds
- 99
- Ownership / control type
- Corporation
- Multi-facility organization
- Hyatt Family Facilities
- Organization structure
- Corporation
- Enrollment address
- 1812 N Wall St
Spokane, WA 99205-4600
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Emerson Health & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 1, 1992
- Medicare certification status
- Active
- Certified beds
- 99
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0723814 | North Central Care Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Norman Hyatt | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 100% |
| Dean a Myers | Operational/Managerial Control | May 22, 2025 | |
| Adp of the SNF | May 22, 2025 | ||
| Hyatt Family Facilities LLC | Operational/Managerial Control | Jan 1, 2011 | 100% |
| Heidi M Berk | Operational/Managerial Control | Nov 1, 2012 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Yakima, WA
- NPI 1275501009
Hyatt Family Facilities LLC
-
- Skilled Nursing Facility
- Bellingham, WA
- NPI 1386283489
Hyatt Family Facilities LLC
-
- Skilled Nursing Facility
- Anacortes, WA
- NPI 1487293585
Hyatt Family Facilities LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mount Vernon, WA
- NPI 1477968337
-
- Rheumatology Physician
- Covington, WA
- NPI 1730158478
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1336358761
-
- Family Medicine Physician
- Deer Park, WA
- NPI 1558367961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1962496745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 N WALL STREET",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992054606",
"telephone_number": "509-328-6030",
"fax_number": "509-327-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 N WALL STREET",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992054606",
"telephone_number": "509-328-6030",
"fax_number": "509-327-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-07",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "VP OF CLINICAL SERVICES",
"authorized_official_telephone_number": "509-328-6030"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "1144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4111449",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Central Care and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.