River Otter Healthcare LLC
NPI 1104536473 · Skilled Nursing Facility · Des Moines, WA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
River Otter Healthcare LLC is a Skilled Nursing Facility organization in Des Moines, WA (NPI 1104536473).
Provider details
- NPI number
- 1104536473
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 487-9500
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-28
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Frequently asked questions
- What is River Otter Healthcare LLC's NPI number?
- River Otter Healthcare LLC's National Provider Identifier (NPI) is 1104536473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is River Otter Healthcare LLC?
- River Otter Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is River Otter Healthcare LLC located?
- River Otter Healthcare LLC's practice location on file with NPPES is 2800 S 224th St, Des Moines, WA 98198-5132.
- What is River Otter Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for River Otter Healthcare LLC is (206) 824-0600.
- Does River Otter Healthcare LLC accept Medicare?
- River Otter Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for River Otter Healthcare LLC?
- The authorized official listed on River Otter Healthcare LLC's NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is River Otter Healthcare LLC's NPI active?
- Yes — River Otter Healthcare LLC's NPI (1104536473) is active in the NPPES registry as of the last update on 2022-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.