NPIMap

Organization Active NPI

Kennewick Medical Investors, LLC

Doing business as Life Care Center of Kennewick

  • Skilled Nursing Facility
  • Kennewick, WA
National Provider Identifier
1679527899
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH721 Issued in WA
Legal business name
KENNEWICK MEDICAL INVESTORS, LLC
Doing business as
Life Care Center of Kennewick
Practice address
1508 W 7TH Ave
Kennewick, WA 99336-5260
Phone
(509) 586-9185
Fax
(509) 586-3544
NPI assigned
May 20, 2006
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Cindy S. Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH721 WA Primary

Addresses

Primary practice location

1508 W 7TH Ave
Kennewick, WA 99336-5260

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
4172102MedicaidWA

Other names 1

  • Life Care Center of Kennewick Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050926000843 WA Part A Provider - Skilled Nursing Facility 3678507951 Practice locations: Kennewick, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679527899. Details of each certification follow.

Skilled nursing facility certification: CCN 505080

Legal name
KENNEWICK MEDICAL INVESTORS, LLC
Doing business as
LIFE CARE CENTER OF KENNEWICK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1974
Last certification
Aug 26, 2024
Beds
136
Ownership / control type
Corporation
Multi-facility organization
Life Care Center of America
Organization structure
LLCProprietary
Enrollment address
1508 W 7TH Ave
Kennewick, WA 99336-5260
Nursing home name
LIFE CARE CENTER OF KENNEWICK
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of KennewickCCN 505080 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13677.2 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $60,246

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
50D0639970Life Care Center of Kennewick1508 W 7TH Ave, Kennewick, WA 99336Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Indirect Ownership Interest May 13, 2005 100%
Operational/Managerial Control May 13, 2005
Adp of the SNF Oct 10, 2005
Indirect Ownership Interest May 13, 2005 100%
Terry Henry Individual Corporate OfficerAsst Treasurer of Management Co Jun 9, 2005
Delia Takagi Individual Operational/Managerial Control Feb 15, 2019
Adp of the SNF Mar 3, 2025
Todd Fletcher Individual Operational/Managerial Control May 1, 2021
Aubrey Preston Individual Operational/Managerial Control Nov 27, 2024
Colette Devries Individual Operational/Managerial Control Feb 10, 2020
Managing Control - Governing BodyDirector of Nursing Feb 10, 2020
Joan E Thurmond Individual Corporate OfficerAsst Secretary of MGMT Company Jun 9, 2005
Nancy Butner Individual Operational/Managerial Control Sep 16, 2018
Managing Control - Governing BodyDivision Vice President Sep 16, 2018
Cindy S Cross Individual Corporate OfficerVP/Asst Sec of Management Company Jun 9, 2005
Monte Jones Individual Operational/Managerial Control Mar 8, 2022
Managing Control - Governing BodyAdministrator Mar 8, 2022
Adp of the SNF Feb 17, 2025
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Oct 1, 2005
Richard Swanker Individual Operational/Managerial Control Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 13, 2005 100%
Operational/Managerial Control May 13, 2005
Adp of the SNF Oct 1, 2005
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Feb 14, 2025
Lisa M Lay Individual Operational/Managerial Control Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Sep 18, 2001

Owners & managing parties with NPI records 26

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

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 1

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1679527899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W 7TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365260",
            "telephone_number": "509-586-9185",
            "fax_number": "509-586-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEWICK MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4172102",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "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": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Kennewick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.