Organization Active NPI

State of Washington Washington Soldiers Home

  • Skilled Nursing Facility
  • Orting, WA
National Provider Identifier
1972594810
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Practice address
1301 Orting/Kapowsin Hwy
Orting, WA 98360
Phone
(360) 893-4500
Fax
(360) 893-4590
NPI assigned
Oct 31, 2005
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Mr. Terrance Westhoff
Title
Cfo
Phone
(360) 725-2171

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N/A WA
Nursing Facility/Intermediate Care Facility 313M00000X N/A WA
Nursing Facility/Intermediate Care Facility 313M00000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1301 Orting/Kapowsin Hwy
Orting, WA 98360

Mailing address

1301 Orting Kapowsin Hwy E
Orting, WA 98360
Phone (360) 893-4500

Other identifiers 2

IdentifierTypeStateIssuer
400014MedicaidWA
4000014MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000421 WA Part B Supplier - Clinic/Group Practice 6103734587 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Orting, WA
O20061205000199 WA Part A Provider - Skilled Nursing Facility 6103734587 Practice locations: Orting, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972594810. Details of each certification follow.

Skilled nursing facility certification: CCN 505516

Legal name
STATE OF WASHINGTON WASHINGTON SOLDIERS HOME
Doing business as
WASHINGTON SOLDIERS HOME AND COLONY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2007
Last certification
Jul 18, 2024
Beds
97
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
1301 Orting Kapowsin Hwy E
Orting, WA 98360-9550
Nursing home name
WASHINGTON SOLDIERS HOME

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Washington Soldiers HomeCCN 505516 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Jan 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9789.2 residents per day on average
Penalties (3 years)
1Fines totaling $10,358

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
50D0876926Washington Soldiers Home and Colony1301 Orting Kapowsin Hwy E, Orting, WA 98360Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 36

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

NameRoleSinceShare
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Daniel Patrick Smith Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Aug 20, 2025
Terrance Joseph Westhoff Individual Operational/Managerial Control Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
David Puente Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing BodyDirector Feb 1, 2023
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Organization, Portland, OR LLC, Medical staffing company, For-profit Adp of the SNF Aug 19, 2025
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
James J Buttitta Individual Operational/Managerial Control Jan 28, 2019
Adp of the SNF Aug 21, 2025
Individual Adp of the SNF Sep 1, 2020
Organization, Moses Lake, WA Corporation, Medical staffing company, For-profit Adp of the SNF Aug 20, 2025
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Washington State Department of Vete Organization, Olympia, WA 5% Or Greater Direct Ownership Interest Sep 27, 2006 100%
Operational/Managerial Control Sep 27, 2006 100%
Organization, University Place, WA LLC, Medical staffing company, For-profit Adp of the SNF Aug 19, 2025
Individual Adp of the SNF Sep 1, 2020
Organization, Tacoma, WA LLC Adp of the SNF Dec 2, 2025
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Daniel Murray Individual Managing Control - Governing BodyHome Operations Director Nov 16, 2021
Organization, Kennett Square, PA LLC Adp of the SNF Dec 2, 2025
Organization, Kent, WA LLC, Medical staffing company, For-profit Adp of the SNF Aug 19, 2025
Organization, Portland, ME LLC Adp of the SNF Dec 2, 2025
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Individual Adp of the SNF Sep 1, 2020
Solomon Gilbert Individual Managing Control - Governing BodyDeputy Director May 22, 2023
Individual Adp of the SNF Sep 1, 2020

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 3

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

Practitioners & affiliated clinicians

Practitioners 4

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 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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1972594810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ORTING KAPOWSIN HWY E",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "98360",
            "telephone_number": "360-893-4500",
            "fax_number": "360-893-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ORTING/KAPOWSIN HWY",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "98360",
            "telephone_number": "360-893-4500",
            "fax_number": "360-893-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WASHINGTON WASHINGTON SOLDIERS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "WESTHOFF",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-725-2171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400014",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000014",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orting, WA

Sources for this page

Verify at the official NPI Registry.