NPIMap

Organization Active NPI

Lake Vue Operations, LLC

Doing business as Life Care Center of Kirkland

  • Skilled Nursing Facility
  • Kirkland, WA
National Provider Identifier
1831342294
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKE VUE OPERATIONS, LLC
Doing business as
Life Care Center of Kirkland
Practice address
10101 NE 120TH St
Kirkland, WA 98034-6622
Phone
(425) 823-2323
Fax
(425) 821-2892
NPI assigned
Oct 29, 2008
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 Primary

Addresses

Primary practice location

10101 NE 120TH St
Kirkland, WA 98034-6622

Mailing address

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

Other names 1

  • Life Care Center of Kirkland 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
O20081114000393 WA Part A Provider - Skilled Nursing Facility 5294895686 Practice locations: Kirkland, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831342294. Details of each certification follow.

Skilled nursing facility certification: CCN 505334

Legal name
LAKE VUE OPERATIONS, LLC
Doing business as
LIFE CARE CENTER OF KIRKLAND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1989
Last certification
Sep 6, 2024
Beds
190
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Care Centers of America
Organization structure
LLCProprietary
Enrollment address
10101 NE 120TH St
Kirkland, WA 98034-6622
Nursing home name
LIFE CARE CENTER OF KIRKLAND
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of KirklandCCN 505334 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
19087.3 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
2Fines totaling $53,560

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
50D0661404Life Care Center of Kirkland10101 NE 120TH St, Kirkland, WA 98034Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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 Direct Ownership InterestMember Sep 19, 2008 74%
Corporate OfficerChief Manager Sep 19, 2008
Jasmeen Kaur Individual W-2 Managing EmployeeAdministrator Jul 6, 2021
Todd Fletcher Individual 5% Or Greater Direct Ownership InterestMember Sep 19, 2008 25%
Joan E Thurmond Individual Corporate OfficerAssistant Secretary Sep 19, 2008
Cindy S Cross Individual Corporate OfficerVice President / Secretary Sep 19, 2008
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit Operational/Managerial Control Oct 30, 2008 100%

Owners & managing parties with NPI records 25

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

View all 25

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1831342294",
    "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": "10101 NE 120TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346622",
            "telephone_number": "425-823-2323",
            "fax_number": "425-821-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VUE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "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": null,
            "license": null,
            "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 Kirkland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.