Active NPI
Everett Post Acute, LLC
Doing business as Madison Post Acute
- Skilled Nursing Facility
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EVERETT POST ACUTE, LLC
- Doing business as
- Madison Post Acute
- Practice address
- 2520 Madison St
Everett, WA 98203-4868 - Phone
- (425) 353-4040
- NPI assigned
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shmuel D Stock
- Title
- Managing Member
- Phone
- (562) 843-4843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2520 Madison St
Everett, WA 98203-4868
Mailing address
422 S Mansfield Ave
Los Angeles, CA 90036-3516
Other names 1
- Madison Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240522003813 | WA | Part A Provider - Skilled Nursing Facility | 2567804511 | Practice locations: Everett, WA |
Skilled nursing facility certification: CCN 505463A
- Legal name
- EVERETT POST ACUTE, LLC
- Doing business as
- MADISON POST ACUTE
- Organization structure
- LLC
- Enrollment address
- 2520 Madison St
Everett, WA 98203-4868 - Nursing home name
- MADISON POST ACUTE
- Affiliated entity
- THE MANDELBAUM FAMILY
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Floyd Sekeramayi | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Kondi Kulisewa | Operational/Managerial Control | Sep 16, 2024 | |
| Adp of the SNF | Sep 16, 2024 | ||
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 | Trustee of the SNF | May 1, 2024 | |
| Direct Ownership Interest | May 1, 2024 | 25% | |
| Shmuel Stock | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | |
| Operational/Managerial Control | May 1, 2024 | ||
| Adp of the SNF | May 1, 2024 | ||
| Emma Singbeil | Operational/Managerial Control | Sep 20, 2024 | |
| Adp of the SNF | Sep 20, 2024 | ||
| Simcha and Janet Mandelbaum Family Trust | Trustee of the SNF | Dec 20, 2002 | |
| Direct Ownership Interest | May 1, 2024 | 25% | |
| Rebecca Leal | Operational/Managerial Control | Oct 18, 2024 | |
| Adp of the SNF | Oct 18, 2024 | ||
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 | Trustee of the SNF | May 1, 2024 | |
| Direct Ownership Interest | May 1, 2024 | 7% | |
| Mikaela Scovel | Operational/Managerial Control | Nov 18, 2024 | |
| Adp of the SNF | Nov 18, 2024 | ||
| Brendan Hobbs | Operational/Managerial Control | Jun 2, 2025 | |
| Adp of the SNF | Jun 2, 2025 | ||
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 | Trustee of the SNF | May 1, 2024 | |
| Direct Ownership Interest | May 1, 2024 | 8% | |
| Jason Baldwin | Operational/Managerial Control | Apr 14, 2025 | |
| Adp of the SNF | Apr 14, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1912324559
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bellingham, WA
- NPI 1922268176
-
- Internal Medicine Physician
- Everett, WA
- NPI 1457372294
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1912324559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1134987472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 S MANSFIELD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034868",
"telephone_number": "425-353-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERETT POST ACUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-11",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "STOCK",
"authorized_official_first_name": "SHMUEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "562-843-4843"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Madison Post Acute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Madison Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
- Everett Mall Way Dental Group
- Everett Manor, LLC (Madison Villa)
- Everett MRI & Diagnostic Center LLC (Federal Way MRI & Diagnostic Center)
- Everett Optometry Clinic, PLLC
- Everett Physical Therapy and Sport Performance Center PLLC
- Everett Psychiatry Associates
- Everett Public Schools
- Everett Radia LLC (Everett Radia)
- Everett School District
- Everett Spine & Rehab, PLLC (Physical Rehabilitation & Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.