Fort Ebey Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FORT EBEY HOLDINGS LLC

Practice address

414 17TH St SE
Auburn, WA 98002-6822

Phone

(253) 883-1740

NPI assigned

Feb 20, 2020

Last updated

Jan 22, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

FOUNDATION HEALTHCARE SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Kirkman Lindahl

Title

Manager

Phone

(949) 697-6456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346873130. Details of each certification follow.

• CCN 505355 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505355

Legal name

FORT EBEY HOLDINGS LLC

Doing business as

AUBURN POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1989

Last certification

Jan 31, 2025

Beds

96

Ownership / control type

Corporation

Multi-facility organization

Foundation

Most recent change of ownership

Feb 1, 2021

Organization structure

LLCProprietary

Enrollment address

414 17TH St SE
Auburn, WA 98002-6822

Nursing home name

AUBURN POST ACUTE

Listed as

Auburn Post AcuteCCN 505355 · All quality measures

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

Nov 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9681.6 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $376,629

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

Part of

Foundation Healthcare Services LLC

Locations

All disclosed owners & managing parties 19

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 1

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

• Neriza Gomez Mercado, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1285314179

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Lowers Holdings LLC

  • Skilled Nursing Facility
  • Lacey, WA
  • NPI 1346888591

  Foundation Resource Center LLC

  CMS ownership
• Middles Holdings LLC

  • Skilled Nursing Facility
  • North Bend, WA
  • NPI 1952982894

  Foundation Resource Center LLC

  CMS ownership
• T-Street Holdings LLC

  • Skilled Nursing Facility
  • Cashmere, WA
  • NPI 1598234577

  Foundation Resource Center LLC

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Foundation Healthcare Services LLC

  • Skilled Nursing Facility
  • Cashmere, WA
  • NPI 1558830539
  NPPES parent name

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.

• Neriza Gomez Mercado, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1285314179
  NPD (past)
• Oksana Nesterenko, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1871229047
  NPD (past)
• Xin Wang, MD

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1689671893
  NPD (past)

Affiliated clinicians 1

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

• Neriza Gomez Mercado, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1285314179

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1346873130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N EL CAMINO REAL # 266",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 17TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026822",
            "telephone_number": "253-883-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT EBEY HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION HEALTHCARE SERVICES LLC",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "LINDAHL",
        "authorized_official_first_name": "KIRKMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-697-6456"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Auburn, WA
• Providers in Auburn, 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 Jan 22, 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.