Fir Lane Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FIR LANE CARE LLC

Practice address

2430 N 13TH St
Shelton, WA 98584-1213

Phone

(360) 426-1651

NPI assigned

Feb 27, 2025

Organization subpart

No

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

Authorized official

Name

Raphael Oscherowitz

Title

Manager

Phone

(253) 251-9300

Specialties & licenses 1

Addresses

Other names 1

• FIR LANE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505230

Legal name

FIR LANE CARE LLC

Doing business as

FIR LANE CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1980

Last certification

May 10, 2024

Beds

135

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Caldera Care

Organization structure

LLCProprietary

Enrollment address

2430 N 13TH St
Shelton, WA 98584-1213

Nursing home name

FIR LANE CARE

Affiliated entity

CALDERA CARE

Listed as

Fir Lane CareCCN 505230

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13592.2 residents per day on average

Chain

Caldera Care6 facilities in the chain

Penalties (3 years)

2Fines totaling $121,488

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 10

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

Facilities with the same owner 3

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

• Aurora Valley Care LLC

  • Skilled Nursing Facility
  • Spokane Valley, WA
  • NPI 1487451779

  KH7 Healthcare Holdings, LLC, KH7 HH CDW, KH7 Ops LLC

  CMS ownership
• Spokane Falls Care LLC

  • Skilled Nursing Facility
  • Spokane, WA
  • NPI 1215734405

  KH7 Healthcare Holdings, LLC, KH7 HH CDW, KH7 Ops LLC

  CMS ownership
• Three Rivers Care LLC

  • Skilled Nursing Facility
  • Centralia, WA
  • NPI 1730986027

  KH7 Healthcare Holdings, LLC, KH7 HH CDW, KH7 Ops LLC

  CMS ownership

Practitioners 3

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

• Neel Ramesh Chheda, DO

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1336678382
  NPD (past)
• Monica A Harris, FNP-C

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1225664386
  NPD (past)
• Kaylesh K. Pandya, D.O.

  • Family Medicine Physician
  • Shelton, WA
  • NPI 1477998599
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Monica A Harris, FNP-C

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1225664386

  Nursing home

  Care Compare affiliation
• Kaylesh K. Pandya, D.O.

  • Family Medicine Physician
  • Shelton, WA
  • NPI 1477998599

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1013714914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 N 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985841213",
            "telephone_number": "360-426-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIR LANE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "OSCHEROWITZ",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-251-9300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIR LANE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Exceptional Foresters, Inc.
• Tina Fenn
• James P Fernandes, MA , MHP, CAAR
• Wilfredo Fernandez-Fonseca, LMHCA
• Rachel Field-Borodin, RN
• Fir Lane Health - Shelton, LLC
• Fir Lane Health-Shelton,LLC
• Fire Protection Dist 5 Mason County
• Lux Reyes Fisher, PHD
• Raymond Flick

• Skilled Nursing Facility in Shelton, WA
• Providers in Shelton, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.