BETHANY AT PACIFIC
NPI 1003879800
Skilled Nursing Facility in Everett, WA

Active since April 11, 2006CLIA 50D0718850 · Waiver
3/5
Overall Rating
916 PACIFIC AVENUE, EVERETT, WA 98201(425) 259-5508(425) 258-5656 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany At Pacific NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY AT PACIFIC (NPI 1003879800) is a healthcare organization registered as a skilled nursing facility in Everett, Washington and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Joseph Scrivens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003879800
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBETHANY OF THE NORTHWEST
Location Address916 PACIFIC AVENUEEverett, WA 98201
Mailing AddressPo Box 13700Mill Creek, WA 98082-1700 · (425) 332-4475 · Fax (425) 740-0426
Fax(425) 258-5656
Organization SubpartNo
Authorized OfficialJoseph ScrivensCeo · (425) 551-6400
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
NPI 1003879800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · 313007682
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
916 PACIFIC AVENUE, Everett, WA 98201

Other Names 1

Doing Business AsBethany At Pacific

Other Identifiers 1

Medicaid4112900WA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0718850

Bethany At Pacific · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D0718850
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPreet Mann
Laboratory Phone(425) 259-5508
Laboratory LocationBethany At Pacific916 Pacific Ave Fl 4, Everett, WA 98206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Bethany At Pacific (CMS certification number 505404), from CMS Care Compare.

Bethany At Pacific

Nursing home · Everett, WA
3/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number505404
Certified Beds80 beds72 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
126
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.78 · LPN 0.84 · RN 0.83
4.45 hrs per resident per day
Weekend Nurse Staffing
4.01 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
65%
Registered Nurse Turnover
70.6%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
11
Infection-Control Citations
0
Fines
2 totaling $93,753.75
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
916 PACIFIC AVENUE
EVERETT, WA 98201
Obstetrics & Gynecology
916 PACIFIC AVENUE, 7TH FLOOR
EVERETT, WA 98201
Dietitian, Registered
916 PACIFIC AVENUE, 7TH FLOOR DIABETES & NUTRITION PROGRAM
EVERETT, WA 98201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Of The Northwest's NPI number?

The NPI number for Bethany Of The Northwest is 1003879800. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as Bethany At Pacific.

Where is Bethany Of The Northwest located?

Bethany Of The Northwest is located at 916 Pacific Avenue, Everett, WA 98201. The listed phone number is (425) 259-5508.

What is Bethany Of The Northwest's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Bethany Of The Northwest hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0718850) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bethany Of The Northwest a Medicare-certified nursing home?

Yes. Bethany At Pacific is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Bethany Of The Northwest have?

CMS rates Bethany At Pacific 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bethany Of The Northwest accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bethany Of The Northwest as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Of The Northwest was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.