Skagit Valley Operations, LLC
Organization Active NPI Skilled Nursing Facility · Sedro Woolley, WA
NPI 1790730091 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1790730091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1388 (WA)
- Legal business name
- SKAGIT VALLEY OPERATIONS, LLC
- Practice address
- 1462 W State Route 20
Sedro Woolley, WA 98284-4322 - Phone
- (360) 856-6867
- Fax
- (360) 856-2526
- NPI assigned
- May 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy S. Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Owners & managing parties with NPI records 26
-
Navdeep Dhaliwal, M.D.
Facilities with the same owner 193
Practitioners 1
-
Navdeep Dhaliwal, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Life Care Center of Skagit Valley
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 1, 1988
- Medicare certification status
- Active
- Certified beds
- 150 · 78.2 residents per day on average
- Chain
- Life Care Centers of America
- Penalties (3 years)
- 2 · fines totaling $68,643
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0634791 | Life Care Center of Skagit Valley | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Skilled nursing facility certification: CCN 505318
- Legal name
- SKAGIT VALLEY OPERATIONS, LLC
- Doing business as
- LIFE CARE CENTER OF SKAGIT VALLEY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1988
- Last certification
- Sep 13, 2024
- Beds
- 150
- Ownership / control type
- Corporation
- Multi-facility organization
- Life Care
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1462 State Route 20
Sedro Woolley, WA 98284-4322 - Nursing home name
- LIFE CARE CENTER OF SKAGIT VALLEY
- Affiliated entity
- LIFE CARE CENTERS OF AMERICA
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Vanessa Nekuda |
Operational/Managerial Control | May 3, 2024 | |
| Managing Control - Governing Body |
May 3, 2024 | ||
| Forrest L Preston |
5% Or Greater Direct Ownership Interest |
Oct 25, 1995 | 99% |
| Adp of the SNF | Aug 31, 2000 | ||
| Indirect Ownership Interest | Oct 25, 1995 | 1% | |
| Terry Henry |
Corporate Officer |
Aug 16, 1999 | |
| Todd Fletcher |
Operational/Managerial Control | Dec 13, 2024 | |
| Developers Investment Company Inc |
Operational/Managerial Control | Jan 1, 2006 | |
| Direct Ownership Interest | Oct 25, 1995 | 1% | |
| Aubrey Preston |
Operational/Managerial Control | Dec 13, 2024 | |
| Joan E Thurmond |
Corporate Officer |
Sep 22, 2000 | |
| Nancy Butner |
Operational/Managerial Control | Sep 16, 2018 | |
| Managing Control - Governing Body |
Sep 16, 2018 | ||
| Cindy S Cross |
Corporate Officer |
Jan 1, 1996 | |
| Richard Swanker |
Corporate Officer |
Apr 1, 2011 | |
| Corporate Director |
Jan 1, 2022 | ||
| Life Care Centers of America, Inc. |
Operational/Managerial Control | Jan 1, 1996 | |
| Adp of the SNF | Mar 20, 2025 | ||
| |
Adp of the SNF | Aug 31, 2000 | |
| Skagit Valley Operations, LLC |
Operational/Managerial Control | Jan 1, 1996 | |
| Adp of the SNF | Aug 31, 2000 | ||
| Heather Savela |
Operational/Managerial Control | Aug 1, 2023 | |
| Managing Control - Governing Body |
Aug 1, 2023 | ||
| Adp of the SNF | Mar 20, 2025 | ||
| Lisa M Lay |
Corporate Officer |
Feb 9, 2018 | |
| Corporate Director |
Apr 24, 2017 | ||
| James Ziegler |
Operational/Managerial Control | Dec 13, 2024 | |
| Navdeep Dhaliwal |
Operational/Managerial Control | Dec 14, 2022 | |
| Adp of the SNF | Mar 20, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040707001276 | WA | Part a Provider - Skilled Nursing Facility | 7113905118 | Practice locations: Sedro Woolley, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1388 | WA | Yes |
Addresses
Primary practice location
1462 W State Route 20
Sedro Woolley, WA 98284-4322
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113882 | Medicaid | WA | |
| 4111753 | Medicaid | WA |
Other names
- Life Care Center of Skagit Valley
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Sedro Woolley, WA
- Skagit County Public Hospital District No 304
- Skagit Valley Medical Center
- Skagit Valley Medical Center
- Skagit Valley Medical Center at Sedro Woolley
- Skagit Valley Medical Center, Inc PS
- James Smartt
- Dustin James Smith
- Vanoy H Smith
- Benjamin Yurievich Solodyankin
- Anita Soltysik
All providers in Sedro Woolley, WA · Skilled Nursing Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.