Middles Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIDDLES HOLDINGS LLC

Practice address

219 Cedar Ave S
North Bend, WA 98045-8262

Phone

(425) 888-2129

NPI assigned

Apr 20, 2021

Organization subpart

Yes

Parent organization

FOUNDATION HEALTHCARE SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Kirk Lindahl

Title

Manager

Phone

(949) 697-6456

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952982894. Details of each certification follow.

• CCN 505339 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505339

Legal name

MIDDLES HOLDINGS LLC

Doing business as

NORTH BEND POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1989

Last certification

Mar 5, 2025

Beds

64

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Middle Holdings Foundation

Most recent change of ownership

May 1, 2021

Organization structure

LLCProprietary

Enrollment address

219 Cedar Ave S
North Bend, WA 98045-8262

Nursing home name

NORTH BEND POST ACUTE

Listed as

North Bend Post AcuteCCN 505339 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6460.2 residents per day on average

Penalties (3 years)

3Fines totaling $206,072

Processed by Care Compare on Aug 1, 2026.

Part of

Foundation Healthcare Services LLC

Locations

All disclosed owners & managing parties 19

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.

• Oksana Nesterenko, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1871229047

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Fort Ebey Holdings LLC

  • Skilled Nursing Facility
  • Auburn, WA
  • NPI 1346873130

  Foundation Resource Center LLC

  CMS ownership
• Lowers Holdings LLC

  • Skilled Nursing Facility
  • Lacey, WA
  • NPI 1346888591

  Foundation Resource Center LLC

  CMS ownership
• T-Street Holdings LLC

  • Skilled Nursing Facility
  • Cashmere, WA
  • NPI 1598234577

  Foundation Resource Center LLC

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Foundation Healthcare Services LLC

  • Skilled Nursing Facility
  • Cashmere, WA
  • NPI 1558830539
  NPPES parent name

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.

• Oksana Nesterenko, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1871229047
  NPD (past)
• Xin Wang, MD

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1689671893
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Oksana Nesterenko, MD

  • General Practice Physician
  • Tacoma, WA
  • NPI 1871229047

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1952982894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N EL CAMINO REAL # A266",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726740",
            "telephone_number": "949-287-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CEDAR AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458262",
            "telephone_number": "425-888-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLES HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATION HEALTHCARE SERVICES LLC",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LINDAHL",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-697-6456"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "infonbp@foundationrc.com",
            "affiliation": "N",
            "address_1": "219 Cedar Ave S",
            "city": "North Bend",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980458262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christa Louise McVicker, LMP
• Jean Marie Medina, CPC
• Ramya Meenakshi Sundaram
• Leigh Allison Meier, PHARMD
• Jill Kathleen Merrill, LMHC
• Scott Alan Mihulka, PHARM D.
• Timmber Lynn Miles, LICSW
• Matthew David Miller, D.C.
• Pamela Miller, LMP
• Kristin Milton

• Skilled Nursing Facility in North Bend, WA
• Providers in North Bend, 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 Apr 20, 2021; 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.