Memorial Home Care Services – Home Health Agency, NPI 1114964509

Memorial Home Care Services is a healthcare provider. based in Yakima, Washington. specializing in Home Health Agency. The organization holds a License No. IS-376 (WA). The NPI Number for Memorial Home Care Services is 1114964509

Main info

Organization
Name
Memorial Home Care Services
NPI
1114964509
Phone
Not provided
Address
P.O. BOX 5299
Authorized Official
WILLIAM GLENN ROBERTSON CEO
Enumeration Date
2 June 2006
Last Update Date
23 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for Memorial Home Care Services

  • P.O. BOX 5299

    MS: 820-5-PCO

    YAKIMA, WA 984150299

    Phone:

    Type: Mailing

  • 302, South 10th Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989023521

    Phone: (509) 746-3800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (345 days ago).

Enrollment records

1

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080609000627OHome Health AgencyWA2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98415)

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Reviews

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Frequently asked questions

What is Memorial Home Care Services's NPI number?
Memorial Home Care Services's NPI is 1114964509 — the number used across U.S. healthcare to identify this provider.
Would Memorial Home Care Services appear as active to a payer?
You can treat Memorial Home Care Services as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Memorial Home Care Services?
Memorial Home Care Services is associated with Home Health Agency in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is Memorial Home Care Services registered?
Use Yakima, Washington as the headline location for Memorial Home Care Services here.
Does Memorial Home Care Services accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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