Shelton SNF Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHELTON SNF OPERATIONS, LLC

Doing business as

Shelton Health & Rehabilitation Center

Practice address

153 Johns CT
Shelton, WA 98584-8225

Phone

(360) 427-2575

NPI assigned

Jan 11, 2023

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yitzchok Yenowitz

Title

Authorized Representative

Phone

(323) 333-0910

Specialties & licenses 5

Addresses

Other names 1

• Shelton Health & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861106049. Details of each certification follow.

• CCN 505507 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505507

Legal name

SHELTON SNF OPERATIONS, LLC

Doing business as

SHELTON HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 12, 1999

Last certification

Mar 19, 2025

Beds

76

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

153 Johns CT
Shelton, WA 98584-8225

Nursing home name

SHELTON HEALTH AND REHABILITATION

Affiliated entity

EVERGREEN HEALTHCARE GROUP

Listed as

Shelton Health and RehabilitationCCN 505507 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 12, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7660.5 residents per day on average

Chain

Evergreen Healthcare Group44 facilities in the chain

Penalties (3 years)

3Fines totaling $65,213

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 1

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

• Kaylesh K. Pandya, D.O.

  • Family Medicine Physician
  • Shelton, WA
  • NPI 1477998599

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 51

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

• Alaska Gardens SNF Operations LLC

  dba Alaska Gardens Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Tacoma, WA
  • NPI 1033795315

  Couve Healthcare Consulting LLC

  CMS ownership
• Americana SNF Operations, LLC

  dba Americana Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Longview, WA
  • NPI 1528772787

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• Buena Vista SNF Operations, LLC

  dba Buena Vista Healthcare

  • Skilled Nursing Facility
  • Colville, WA
  • NPI 1972217131

  Couve Financial Services LLC, Couve Healthcare Consulting LLC

  CMS ownership
• Canterbury SNF Operations, LLC

  dba Canterbury House

  • Skilled Nursing Facility
  • Auburn, WA
  • NPI 1679287841

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• Enumclaw SNF Operations, LLC

  dba Enumclaw Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Enumclaw, WA
  • NPI 1821702093

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• Frontier SNF Operations, LLC

  dba Frontier Rehabilitation & Extended Care Center

  • Skilled Nursing Facility
  • Longview, WA
  • NPI 1801500079

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• Heartwood Operator LLC

  dba Heartwood Extended Healthcare

  • Skilled Nursing Facility
  • Tacoma, WA
  • NPI 1215576186

  Couve Healthcare Consulting LLC

  CMS ownership
• North Cascades SNF Operations, LLC

  dba North Cascades Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Bellingham, WA
  • NPI 1891409066

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• Royal Park Health SNF Operations, LLC

  • Skilled Nursing Facility
  • Spokane, WA
  • NPI 1154035327

  Couve Financial Services LLC, Couve Healthcare Consulting LLC

  CMS ownership
• Seattle SNF Operations, LLC

  dba Seattle Medical Post Acute Care

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1144934316

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• Transitional Care SNF Operations, LLC

  dba Transitional Care Center of Seattle

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1730894593

  Couve Financial Services LLC, Couve Healthcare Consulting LLC, Pacific Northwest Opco Management LLC, Washington SNF Consulting LLC

  CMS ownership
• WCC Operator LLC

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1952940827

  Couve Healthcare Consulting LLC

  CMS ownership

Practitioners 3

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.

• Neel Ramesh Chheda, DO

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1336678382
  NPD (past)
• Kaylesh K. Pandya, D.O.

  • Family Medicine Physician
  • Shelton, WA
  • NPI 1477998599
  NPD (past)
• Gregory A Kennebeck, MD

  • Family Medicine Physician
  • Travis AFB, CA
  • NPI 1871579847
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1861106049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AVENUE OF THE STATES STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014779",
            "telephone_number": "732-366-8300",
            "fax_number": "732-523-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 JOHNS CT",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848225",
            "telephone_number": "360-427-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "323-333-0910"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelton Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelton Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelton Family Eye Care, LLC
• Shelton Family Medicine P.L.L.C.
• Shelton Family Medicine PLLC
• Shelton Physical Therapy and Sports Medicine Clinic P.S.
• Shelton School District
• Karen Howell Shephard, MA, MS, PHD
• Lindsey Joanne Sheppard, RN
• John A Sheridan, MA, R-AAC
• Skokomish Indian Nation
• Patrick Smart

• 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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.