Fir Lane Health-Shelton,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FIR LANE HEALTH-SHELTON,LLC

Practice address

2430 North 13TH St
Shelton, WA 98584

Phone

(360) 426-1651

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Chaim Wolmark

Title

Ceo

Phone

(253) 251-9081

Specialties & licenses 1

Addresses

Other names 1

• Fir Lane Health & Rehabilitation Center Doing business as

Practitioners 2

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

• Monica A Harris, FNP-C

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1225664386
  NPD (past)
• Kaylesh K. Pandya, D.O.

  • Family Medicine Physician
  • Shelton, WA
  • NPI 1477998599
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1831603075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST NW",
            "address_2": "SUITE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-858-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 NORTH 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-426-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIR LANE HEALTH-SHELTON,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "WOLMARK",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-251-9081"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fir Lane Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James P Fernandes, MA , MHP, CAAR
• Wilfredo Fernandez-Fonseca, LMHCA
• Rachel Field-Borodin, RN
• Fir Lane Care LLC
• Fir Lane Health - Shelton, LLC
• Fire Protection Dist 5 Mason County
• Lux Reyes Fisher, PHD
• Raymond Flick
• Mark A. Flores, PA-C
• Ronald Flores

• Skilled Nursing Facility in Shelton, WA
• Providers in Shelton, 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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.