Lake Washington Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE WASHINGTON HEALTHCARE, INC.

Doing business as

Shoreline Health and Rehabilitation

Practice address

2818 NE 145TH St
Shoreline, WA 98155-7556

Phone

(206) 418-2900

Fax

(206) 365-3295

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Health and Rehabilitation Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505262

Legal name

LAKE WASHINGTON HEALTHCARE, INC.

Doing business as

SHORELINE HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1982

Last certification

Dec 19, 2024

Beds

114

Ownership / control type

Corporation

Multi-facility organization

Pennant Healthcare, Inc.

Organization structure

CorporationProprietary

Enrollment address

2818 NE 145TH St
Shoreline, WA 98155-7556

Nursing home name

SHORELINE HEALTH AND REHABILITATION

Affiliated entity

THE ENSIGN GROUP

Listed as

Shoreline Health and RehabilitationCCN 505262 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11480.9 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

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.

• Neel Ramesh Chheda, DO

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1336678382

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

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neel Ramesh Chheda, DO

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1336678382
  NPD (past)
• Gina Young Kim, MD, MPH

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1376907568
  NPD (past)
• Jenny Roraback-Carson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1902005549
  NPD (past)
• Masoud Seyed Taleghani, M.D.

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1114117330
  NPD (past)

Affiliated clinicians 2

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

• Gina Young Kim, MD, MPH

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1376907568

  Nursing home

  Care Compare affiliation
• Jenny Roraback-Carson, MD

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

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1427634187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 NE 145TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557556",
            "telephone_number": "206-418-2900",
            "fax_number": "206-365-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NE 145TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557556",
            "telephone_number": "206-418-2900",
            "fax_number": "206-365-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WASHINGTON HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:5291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "Sleep Resolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shoreline Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shoreline Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Laban
• Rachel C Lagrange, OT
• Trifenia Laguio
• Lake City Partners Ending Homelessness
• Lake Forest Park Physical Therapy, PLLC
• Joanne S Lam, MSW
• Katelin Storm Lambert, PHARMD
• Robert W Landerholm, MD
• Devin Langaker, DPT
• Larrance L Commons, DDS, PS

• 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, 2022; 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.