NPIMap

Organization Active NPI

American Lake Healthcare, Inc.

Doing business as The Oaks at Lakewood

  • Skilled Nursing Facility
  • Lakewood, WA
National Provider Identifier
1861073603
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMERICAN LAKE HEALTHCARE, INC.
Doing business as
The Oaks at Lakewood
Practice address
11411 Bridgeport Way SW
Lakewood, WA 98499-3047
Phone
(253) 581-9002
Fax
(253) 581-7016
NPI assigned
Apr 14, 2021
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

11411 Bridgeport Way SW
Lakewood, WA 98499-3047

Mailing address

11411 Bridgeport Way SW
Lakewood, WA 98499-3047
Phone (253) 581-9002

Other names 1

  • The Oaks at Lakewood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:5291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210524002717 WA Part A Provider - Skilled Nursing Facility 2567861552 Practice locations: Lakewood, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861073603. Details of each certification follow.

Skilled nursing facility certification: CCN 505347

Legal name
AMERICAN LAKE HEALTHCARE INC
Doing business as
THE OAKS AT LAKEWOOD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jul 26, 1989
Last certification
Oct 22, 2024
Beds
80
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pennant Healthcare LLC
Organization structure
CorporationProprietary
Enrollment address
11411 Bridgeport Way SW
Lakewood, WA 98499-3047
Nursing home name
THE OAKS AT LAKEWOOD
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Oaks at LakewoodCCN 505347 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 26, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8071.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Steve M Ross Individual Corporate OfficerPresident American Lake Healthcare Jan 1, 2024
Kasey Bradburn Individual Operational/Managerial ControlAdministrator Jun 1, 2021
Managing Control - Governing BodyAdministrator Jun 1, 2021
Adp of the SNF Jul 8, 2025
Pennant Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Mar 25, 2021
Ami Sato Individual Corporate OfficerTreasurer American Lake Healthcare Sep 9, 2024
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Jun 1, 2021
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Jun 1, 2021
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Jun 1, 2021
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Stephen W Farnsworth Individual Corporate DirectorDirector American Lake Healthcare Jan 1, 2024
Maggie Sekeramayi Individual Operational/Managerial Control Jan 1, 2022
Managing Control - Governing BodyMedical Director Jan 1, 2022
Adp of the SNF Jul 8, 2025
Soon Burnam Individual Corporate OfficerSecretary American Lake Healthcare Mar 22, 2021

Owners & managing parties with NPI records 1

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

  • Maggie Sekeramayi, MD
    • Internal Medicine Physician
    • Lakewood, WA
    • NPI 1801099791

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 2

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1861073603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993047",
            "telephone_number": "253-581-9002",
            "fax_number": "253-581-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993047",
            "telephone_number": "253-581-9002",
            "fax_number": "253-581-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LAKE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:5291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Oaks at Lakewood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Oaks at Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.