Organization Active NPI

Columbia Lutheran Ministries

  • Skilled Nursing Facility
  • Seattle, WA
National Provider Identifier
1972508141
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH48 Issued in WA
Legal business name
COLUMBIA LUTHERAN MINISTRIES
Practice address
4700 Phinney Ave N
Seattle, WA 98103-6374
Phone
(206) 632-7400
Fax
(206) 633-0589
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
David Heyer
Title
Vice-President of Finance
Phone
(206) 632-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH48 WA Primary

Addresses

Primary practice location

4700 Phinney Ave N
Seattle, WA 98103-6374

Mailing address

4700 Phinney Ave N
Seattle, WA 98103-6374
Phone (206) 632-7400

Other identifiers 2

IdentifierTypeStateIssuer
4104808MedicaidWA
578OtherWAPREMERA BLUE CROSS

Other names 1

  • Columbia Lutheran Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000334 WA Part A Provider - Skilled Nursing Facility 9931129301 Practice locations: Seattle, WA

Skilled nursing facility certification: CCN 505470

Legal name
COLUMBIA LUTHERAN MINISTRIES
Doing business as
COLUMBIA LUTHERAN MINISTRIES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1992
Last certification
Mar 20, 2025
Beds
116
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 7, 1984 in WA
Enrollment address
4700 Phinney Ave N
Seattle, WA 98103-6374
Nursing home name
COLUMBIA LUTHERAN HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Columbia Lutheran HomeCCN 505470
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11669.4 residents per day on average

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
50D0684720Columbia Lutheran Home4700 Phinney Ave N, Seattle, WA 98103Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Charlotte McGinness Individual Corporate Director Jan 28, 2016
Caroline Alabach Individual Corporate Director Sep 26, 2013
Deborah Ramsey Individual Corporate Director Mar 31, 2016
Janet Smith Individual Corporate Director Dec 2, 2021
Keith Mahler Individual Corporate Director Jan 30, 2020
David Heyer Individual Corporate OfficerPresident/Administrator Aug 31, 2015
Operational/Managerial ControlPresident/Administrator Aug 31, 2015 100%
Cindy Sears Individual Corporate DirectorTreasurer Jan 28, 2016

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1972508141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 PHINNEY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036374",
            "telephone_number": "206-632-7400",
            "fax_number": "206-633-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PHINNEY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036374",
            "telephone_number": "206-632-7400",
            "fax_number": "206-633-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA LUTHERAN MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "HEYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE-PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "206-632-7400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH48",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4104808",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "578",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Lutheran Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.