Shoreline Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHORELINE OPERATIONS, LLC

Doing business as

Avamere Rehabilitation of Shoreline

Practice address

1250 NE 145TH St
Shoreline, WA 98155-7134

Phone

(206) 363-5856

NPI assigned

Dec 16, 2022

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E. KofstadNPI 1104086065

Title

Ceo

Phone

(971) 224-2033

Specialties & licenses 1

Addresses

Other names 1

• Avamere Rehabilitation of Shoreline 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 1366154791. Details of each certification follow.

• CCN 505009 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505009

Legal name

SHORELINE OPERATIONS LLC

Doing business as

AVAMERE REHABILITATION OF SHORELINE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

May 17, 2025

Beds

115

Ownership / control type

Corporation

Multi-facility organization

Avamere Living

Most recent change of ownership

Mar 1, 2023

Organization structure

LLCProprietary

Enrollment address

1250 NE 145TH St
Shoreline, WA 98155-7134

Nursing home name

AVAMERE REHABILITATION OF SHORELINE

Affiliated entity

AVAMERE

Listed as

Avamere Rehabilitation of ShorelineCCN 505009 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11554.3 residents per day on average

Chain

Avamere27 facilities in the chain

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

Locations

All disclosed owners & managing parties 45

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
• SW Seattle Operations, LLC

  dba Avamere Rehabilitation of Park West

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1336851773

  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 5

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.

• Mary E. Kofstad, MSN-FNP

  • Family Nurse Practitioner
  • Billings, MT
  • NPI 1104086065
  NPD (past) Authorized official
• Isabela Cardim, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1003196478
  NPD (past)
• 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)
• Jenny Roraback-Carson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1902005549
  NPD (past)

Affiliated clinicians 2

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

• Caleb T Chu, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1316668320

  Nursing home

  Care Compare affiliation
• Jyothi Dikkala, MD

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

  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": "1366154791",
    "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": "1250 NE 145TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557134",
            "telephone_number": "206-363-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE 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 Shoreline",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avamere Rehabilitation of Shoreline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Shoreline, WA
• Providers in Shoreline, 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.