Active NPI
Highland Wellnesscare, LLC
- Skilled Nursing Facility
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HIGHLAND WELLNESSCARE, LLC
- Practice address
- 2102 S 96TH St
Tacoma, WA 98444-1753 - Phone
- (323) 581-2514
- NPI assigned
- Nov 12, 2018
- 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
- Jonah Weiss
- Title
- Manager
- Phone
- (323) 493-2642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2102 S 96TH St
Tacoma, WA 98444-1753
Mailing address
106 S Highland Ave
Los Angeles, CA 90036-3029
Phone (323) 493-2642
Other names 1
- Tacoma Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181127001859 | WA | Part A Provider - Skilled Nursing Facility | 9032453337 | Practice locations: Tacoma, WA |
Skilled nursing facility certification: CCN 505154
- Legal name
- HIGHLAND WELLNESSCARE LLC
- Doing business as
- TACOMA NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1983
- Last certification
- Apr 24, 2025
- Beds
- 150
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 2102 S 96TH St
Tacoma, WA 98444-1753 - Nursing home name
- TACOMA NURSING AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tacoma Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1983
- Medicare certification status
- Active
- Certified beds
- 150
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Rebecca Weiss | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 49.5% |
| Operational/Managerial Control | Jan 1, 2019 | ||
| Managing Control - Governing Body | Jan 1, 2019 | ||
| Trustee of the SNF | Jan 1, 2019 | ||
| Direct Ownership Interest | Jan 1, 2019 | 99% | |
| Hansen Hunter LLC | Adp of the SNF | Jan 1, 2025 | |
| Sabrina a Benjamin | Operational/Managerial Control | Nov 20, 2020 | |
| Adp of the SNF | Nov 20, 2020 | ||
| Steven J Weiss | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 49.5% |
| Operational/Managerial Control | Jan 1, 2019 | ||
| Managing Control - Governing Body | Jan 1, 2019 | ||
| Trustee of the SNF | Jan 1, 2019 | ||
| S&R Weiss Revocable Trust Uad December 23, 1993 | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 99% |
| Operational/Managerial Control | Jan 1, 2019 | ||
| Trustee of the SNF | Jan 1, 2019 | ||
| Direct Ownership Interest | Jan 1, 2019 | 99% | |
| Highland Wellnesscare LLC | Operational/Managerial Control | Jan 1, 2019 | |
| Jonah Weiss | Operational/Managerial Control | Jan 1, 2019 | |
| Managing Control - Governing Body | Jan 1, 2019 | ||
| Direct Ownership Interest | Jan 1, 2019 | 1% | |
| Damen Diaz | Operational/Managerial Control | Apr 12, 2021 | |
| Adp of the SNF | Apr 12, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Olympia, WA
- NPI 1447280334
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1063522126
-
- Internal Medicine Physician
- Olympia, WA
- NPI 1447280334
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1538138201
Affiliated clinicians 1
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": "1541980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1962970533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 S HIGHLAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363029",
"telephone_number": "323-493-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 S 96TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984441753",
"telephone_number": "323-581-2514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND WELLNESSCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "JONAH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-493-2642"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tacoma Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.