SW Seattle Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SW SEATTLE OPERATIONS, LLC

Doing business as

Avamere Rehabilitation of Park West

Practice address

1703 California Ave SW
Seattle, WA 98116-1902

Phone

(206) 937-9750

NPI assigned

Dec 16, 2022

Organization subpart

No

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

Authorized official

Name

Mary E. Kofstad

Title

Ceo

Phone

(971) 224-2033

Specialties & licenses 1

Addresses

Other names 1

• Avamere Rehabilitation of Park West Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336851773. Details of each certification follow.

• CCN 505270 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505270

Legal name

SW SEATTLE OPERATIONS LLC

Doing business as

AVAMERE REHABILITATION AT PARK WEST

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 1, 1982

Last certification

Apr 22, 2024

Beds

137

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Avamere

Organization structure

LLCProprietary

Enrollment address

1703 California Ave SW
Seattle, WA 98116-1902

Nursing home name

AVAMERE REHABILITATION AT PARK WEST

Affiliated entity

AVAMERE

Listed as

Avamere Rehabilitation at Park WestCCN 505270 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13788.5 residents per day on average

Chain

Avamere27 facilities in the chain

Penalties (3 years)

2Fines totaling $29,820

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 42

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

Owners & managing parties with NPI records 3

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

• Caleb T Chu, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1316668320

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Pacific Medical Specialty Group

  • Internal Medicine Physician
  • Elma, WA
  • NPI 1548911811

  Adp of the SNF

  CMS ownership
• Misty Reid, AGACNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor, CO
  • NPI 1851992176

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 23

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

• Burien Operations, LLC

  dba Avamere Rehabilitation of Burien

  • Skilled Nursing Facility
  • Burien, WA
  • NPI 1912619321

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Georgian Rehab, LLC

  dba Avamere Transitional Care of Puget Sound

  • Skilled Nursing Facility
  • Tacoma, WA
  • NPI 1508904467

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Issaquah Operations, LLC

  dba Avamere Rehabilitation of Issaquah

  • Skilled Nursing Facility
  • Issaquah, WA
  • NPI 1053023499

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Richmond Beach Rehab LLC

  • Skilled Nursing Facility
  • Shoreline, WA
  • NPI 1316932114

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Seattle Operations, LLC

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1982948535

  Avamere Health Services LLC, Avamere Skilled Advisors LLC

  CMS ownership
• Sequim Rehabilitation LLC

  dba Avamere Olympic Rehabilitation of Sequim

  • Skilled Nursing Facility
  • Sequim, WA
  • NPI 1538146378

  Avamere Health Services LLC

  CMS ownership
• Shoreline Operations, LLC

  dba Avamere Rehabilitation of Shoreline

  • Skilled Nursing Facility
  • Shoreline, WA
  • NPI 1366154791

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Tacoma Rehab, LLC

  dba Avamere at Pacific Ridge

  • Skilled Nursing Facility
  • Tacoma, WA
  • NPI 1053459925

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Clackamas Rehabilitation, LLC

  dba Avamere Rehabilitation of Clackamas

  • Skilled Nursing Facility
  • Gladstone, OR
  • NPI 1518001205

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Coos Bay Rehabilitation, LLC

  dba Avamere Rehabilitation of Coos Bay

  • Skilled Nursing Facility
  • Coos Bay, OR
  • NPI 1831233519

  Avamere Health Services LLC, Avamere Skilled Advisors LLC

  CMS ownership
• Crestview Operations, LLC

  dba Avamere Crestview of Portland

  • Skilled Nursing Facility
  • Portland, OR
  • NPI 1922046606

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Eugene Rehabilitation, LLC

  dba Avamere Rehabilitation of Eugene

  • Skilled Nursing Facility
  • Eugene, OR
  • NPI 1265576946

  Avamere Health Services LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caleb T Chu, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1316668320
  NPD (past)
• Jyothi Dikkala, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Tacoma, WA
  • NPI 1134958028
  NPD (past)
• Gina Kang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1790105773
  NPD (past)

Affiliated clinicians 2

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

• Jyothi Dikkala, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Tacoma, WA
  • NPI 1134958028

  Nursing home

  Care Compare affiliation
• Gina Kang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1790105773

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1336851773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708891",
            "telephone_number": "503-830-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161902",
            "telephone_number": "206-937-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW SEATTLE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "KOFSTAD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-224-2033"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi",
            "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": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avamere Rehabilitation of Park West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avamere Rehabilitation of Park West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Svetlana Komleva
• Elinor Marie Shetter Sveum, MD
• Jennifer Sveund, B.S.
• Jelena Natascha Svircev, M.D.
• Mark C Svore, DDS
• Nicole Swaffer
• Maya Swaminathan, M.D.
• Maud Izette Swan, PT
• Scott Carlton Swan, LMHC, CN
• Aaron Arthur Swanberg

• Skilled Nursing Facility in Seattle, WA
• Providers in Seattle, 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 17, 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.