Organization Active NPI

Lowers Holdings LLC

  • Skilled Nursing Facility
  • Lacey, WA
National Provider Identifier
1346888591
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOWERS HOLDINGS LLC
Practice address
1505 Carpenter Rd SE
Lacey, WA 98503-2906
Phone
(360) 491-1765
NPI assigned
Dec 18, 2019
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1505 Carpenter Rd SE
Lacey, WA 98503-2906

Mailing address

1520 N El Camino Real Ste 6
San Clemente, CA 92672-5957
Phone (949) 697-6456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211002486 WA Part A Provider - Skilled Nursing Facility 0143656140 Practice locations: Lacey, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346888591. Details of each certification follow.

Skilled nursing facility certification: CCN 505254

Legal name
LOWERS HOLDINGS LLC
Doing business as
ROO LAN HEALTH & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1980
Last certification
Feb 6, 2025
Beds
96
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Foundation Healthcare Services LLC
Organization structure
LLCProprietary
Enrollment address
1505 Carpenter Rd SE
Lacey, WA 98503-2906
Nursing home name
CRYSTAL COVE POST ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crystal Cove Post AcuteCCN 505254 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9688.3 residents per day on average
Special focus status
SFF
Penalties (3 years)
6Fines totaling $235,475

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
50D0636832Roo-Lan Health and Rehab1505 Carpenter Rd SE, Lacey, WA 98503Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1520 N El Camino Real
Ste 6
San Clemente, CA 92672

1505 Carpenter Rd SE
Lacey, WA 98503
Phone (360) 491-1765

Ownership & related parties

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.

NameRoleSinceShare
Achashman Berihun Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Feb 1, 2020
Scott Lindahl Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2020 25%
Corporate OfficerManager Mar 1, 2020 25%
Operational/Managerial Control Feb 1, 2019
Adp of the SNF Mar 1, 2020
John Maina Individual Operational/Managerial Control Mar 27, 2025
Adp of the SNF Mar 27, 2025
Foundation Healthcare Services LLC Organization, San Clemente, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Chukwuemeka Nwankwo Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
David Lindahl Individual Adp of the SNF Mar 1, 2020
Foundation Resource Center LLC Organization, San Clemente, CA LLC Operational/Managerial Control Feb 1, 2020
Adp of the SNF Feb 11, 2025
Brandt Anderson Individual Operational/Managerial Control Jan 2, 2022
Adp of the SNF Jan 2, 2022
Wa1West LLC Organization, San Clemente, CA LLC Adp of the SNF Feb 1, 2020
Steven Frost Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2020 25%
Corporate OfficerManager Mar 1, 2020 25%
Operational/Managerial Control Feb 1, 2020
Adp of the SNF Feb 1, 2020
Kirkman Lindahl Individual 5% Or Greater Indirect Ownership InterestManager Mar 1, 2020 25%
Corporate OfficerManager Mar 1, 2020 25%
Operational/Managerial Control Feb 1, 2019
Adp of the SNF Mar 1, 2020
Organization, Spokane Valley, WA Corporation Adp of the SNF Sep 9, 2025
Brianna de Oro Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF Feb 24, 2025
Organization, Kennett Square, PA LLC Adp of the SNF Sep 9, 2025
Jay Zwahlen Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Organization, Tacoma, WA LLC Adp of the SNF Sep 9, 2025
Jeffrey Lindahl Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2019 25%
Corporate OfficerManager Mar 1, 2020
Operational/Managerial Control Feb 1, 2019
Adp of the SNF Feb 1, 2019
McKennzie Bracy Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Feb 1, 2020
Chateau Johnson Individual Operational/Managerial Control Dec 30, 2024
Adp of the SNF Dec 30, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational 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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1346888591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N EL CAMINO REAL STE 6",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725957",
            "telephone_number": "949-697-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 CARPENTER RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032906",
            "telephone_number": "360-491-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWERS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.