NPIMap

Organization Active NPI

Skagit Valley Operations, LLC

Doing business as Life Care Center of Skagit Valley

  • Skilled Nursing Facility
  • Sedro Woolley, WA
National Provider Identifier
1790730091
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1388 Issued in WA
Legal business name
SKAGIT VALLEY OPERATIONS, LLC
Doing business as
Life Care Center of Skagit Valley
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
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 1388 WA Primary

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 names 1

  • Life Care Center of Skagit Valley 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
O20040707001276 WA Part A Provider - Skilled Nursing Facility 7113905118 Practice locations: Sedro Woolley, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790730091. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of Skagit ValleyCCN 505318 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
15078.2 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
2Fines totaling $68,643

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
50D0634791Life Care Center of Skagit Valley1462 W State Route 20, Sedro Woolley, WA 98284Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1462 State Route 20
Sedro Woolley, WA 98284
Phone (360) 856-6867

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Vanessa Nekuda Individual Operational/Managerial Control May 3, 2024
Managing Control - Governing BodyDirector of Nursing May 3, 2024
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Oct 25, 1995 99%
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Oct 25, 1995 1%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT Co Aug 16, 1999
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jan 1, 2006
Direct Ownership Interest Oct 25, 1995 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT Co Sep 22, 2000
Nancy Butner Individual Operational/Managerial Control Sep 16, 2018
Managing Control - Governing BodyDivision Vice President Sep 16, 2018
Cindy S Cross Individual Corporate OfficerVP / Assist. Secretary of MGMT. Co. Jan 1, 1996
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT Co Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jan 1, 1996
Adp of the SNF Mar 20, 2025
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Skagit Valley Operations, LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Jan 1, 1996
Adp of the SNF Aug 31, 2000
Heather Savela Individual Operational/Managerial Control Aug 1, 2023
Managing Control - Governing BodyAdministrator Aug 1, 2023
Adp of the SNF Mar 20, 2025
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Dec 13, 2024
Navdeep Dhaliwal Individual Operational/Managerial Control Dec 14, 2022
Adp of the SNF Mar 20, 2025

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1790730091",
    "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": "1462 W STATE ROUTE 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844322",
            "telephone_number": "360-856-6867",
            "fax_number": "360-856-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT VALLEY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "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": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Skagit Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.