NPIMap

Organization Active NPI

Woodard SNF Operations LLC

  • Skilled Nursing Facility
  • Olympia, WA
National Provider Identifier
1982402939
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WOODARD SNF OPERATIONS LLC
Doing business as
Woodard Creek Health & Rehabilitation
Practice address
3333 Ensign Rd NE
Olympia, WA 98506-5012
Phone
(360) 493-4900
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3333 Ensign Rd NE
Olympia, WA 98506-5012

Mailing address

3333 Ensign Rd NE
Olympia, WA 98506-5012
Phone (360) 493-4900

Other names 1

  • Woodard Creek Health & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805001820 WA Part A Provider - Skilled Nursing Facility 4486162906 Practice locations: Olympia, WA

Skilled nursing facility certification: CCN 505387

Legal name
WOODARD SNF OPERATIONS LLC
Doing business as
WOODARD CREEK HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 7, 1991
Last certification
May 31, 2024
Beds
152
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hill Valley Healthcare, LLC
Organization structure
LLCProprietary
Enrollment address
3333 Ensign Rd NE
Olympia, WA 98506-5012
Nursing home name
WOODARD CREEK HEALTH & REHABILITATION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodard Creek Health & RehabilitationCCN 505387 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 7, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
152104.4 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $189,638

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
50D0675692Woodard Creek Health & Rehabilitation3333 Ensign Road NE, Olympia, WA 98506Certificate 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
Individual Indirect Ownership Interest Apr 1, 2025 2.3%
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC, Holding company Operational/Managerial Control Apr 1, 2025
Adp of the SNF May 7, 2025
Indirect Ownership Interest Apr 1, 2025 47%
Organization, Woodmere, NY LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Apr 1, 2025 2.5%
Saessy Irrevocable Trust Organization, Far Rockaway, NY Operational/Managerial Control Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 44.7%
Organization, Woodmere, NY Indirect Ownership Interest Apr 1, 2025 2.38%
Organization, Woodmere, NY LLC, Consulting firm Adp of the SNF May 13, 2025
Organization, Woodmere, NY LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Apr 1, 2025 2.5%
Shimon Idels Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Christine Erickson Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Woodard Operations Holdings LLC Organization, Woodmere, NY LLC, Holding company Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 28, 2025
Direct Ownership Interest Apr 1, 2025 100%
Individual Indirect Ownership Interest Apr 1, 2025 2.3%
Jill C Jones Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Tatiriq Irrevocable Trust Organization, Flushing, NY Operational/Managerial Control Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025 44.7%
Lion 26 Holdings LLC Organization, Far Rockaway, NY LLC, Holding company Operational/Managerial Control Apr 1, 2025
Adp of the SNF May 7, 2025
Indirect Ownership Interest Apr 1, 2025 47%
Individual Indirect Ownership Interest Apr 1, 2025 2.3%

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 3

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": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1982402939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065012",
            "telephone_number": "360-493-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 ENSIGN RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065012",
            "telephone_number": "360-493-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODARD SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodard Creek Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.