NPIMap

Organization Active NPI

Clearwater Operations, LLC

Doing business as Life Care Center of Lewiston

  • Skilled Nursing Facility
  • Lewiston, ID
National Provider Identifier
1235182155
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
85 Issued in ID
Legal business name
CLEARWATER OPERATIONS, LLC
Doing business as
Life Care Center of Lewiston
Practice address
325 Warner Dr
Lewiston, ID 83501-4437
Phone
(208) 798-8500
Fax
(208) 798-8530
NPI assigned
May 19, 2006
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Cindy S. Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 85 ID Primary

Addresses

Primary practice location

325 Warner Dr
Lewiston, ID 83501-4437

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other names 1

  • Life Care Center of Lewiston Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707001080 ID Part A Provider - Skilled Nursing Facility 3870570864 Practice locations: Lewiston, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235182155. Details of each certification follow.

Skilled nursing facility certification: CCN 135128

Legal name
CLEARWATER OPERATIONS LLC
Doing business as
LIFE CARE CENTER OF LEWISTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 15, 1997
Last certification
Aug 18, 2022
Beds
121
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
325 Warner Dr
Lewiston, ID 83501-4437
Nursing home name
LIFE CARE CENTER OF LEWISTON
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of LewistonCCN 135128 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 15, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12177.1 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0934334Life Care Center of Lewiston325 Warner Drive, Lewiston, ID 83501Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory

Locations

325 Warner Dr
Lewiston, ID 83501
Phone (208) 791-6183

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Jul 14, 1994 99%
Adp of the SNF Aug 31, 2000
Direct Ownership Interest Jul 14, 1994 99%
Indirect Ownership Interest Jul 14, 1994 1%
Terry Henry Individual Corporate OfficerAsst Treasurer of Management Co. Aug 16, 1999
Heather Marie Jansen Individual Operational/Managerial Control Sep 16, 2024
Managing Control - Governing BodyDirector of Nursing Sep 16, 2024
John Bradley Rudolph Individual Operational/Managerial Control Jul 1, 2020
Adp of the SNF Feb 28, 2025
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Linda Baker Individual Operational/Managerial Control Sep 1, 2021
Managing Control - Governing BodyAdministrator Sep 1, 2021
Adp of the SNF Feb 28, 2025
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jan 1, 2017
Direct Ownership Interest Jul 14, 1994 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Clearwater Operations LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Oct 15, 1997
Adp of the SNF Aug 31, 2000
Joan E Thurmond Individual Corporate OfficerAsst Secretary of Management Co. Sep 21, 2000
Nancy Butner Individual Operational/Managerial Control Sep 16, 2018
Managing Control - Governing BodyDivisional Vice President Sep 16, 2018
Cindy S Cross Individual Corporate OfficerVP/Asst Secretary of Management Co. Apr 21, 1994
Richard Swanker Individual Corporate OfficerChief Tax Officer of Management Co. Apr 1, 2011
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Oct 15, 1997 100%
Adp of the SNF Feb 28, 2025
Lisa M Lay Individual Corporate OfficerSecretary of Management Company Feb 9, 2018
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1235182155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014437",
            "telephone_number": "208-798-8500",
            "fax_number": "208-798-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Lewiston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.