Organization Active NPI

Seattle Operations, LLC

  • Skilled Nursing Facility
  • Seattle, WA
National Provider Identifier
1982948535
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SEATTLE OPERATIONS, LLC
Practice address
2717 Dexter Ave N
Seattle, WA 98109-1914
Phone
(206) 284-7012
Fax
(206) 283-3936
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Karl Miller Jr.
Title
Chairman
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2717 Dexter Ave N
Seattle, WA 98109-1914

Mailing address

2717 Dexter Ave N
Seattle, WA 98109-1914
Phone (206) 284-7012

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130225000230 WA Part A Provider - Skilled Nursing Facility 8224283270 Practice locations: Seattle, WA

Skilled nursing facility certification: CCN 505204

Legal name
SEATTLE OPERATIONS LLC
Doing business as
QUEEN ANNE HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1976
Last certification
Feb 3, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Avamere
Organization structure
LLCProprietary
Enrollment address
2717 Dexter Ave N
Seattle, WA 98109-1914
Nursing home name
QUEEN ANNE HEALTHCARE
Affiliated entity
AVAMERE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Queen Anne HealthcareCCN 505204
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12094.5 residents per day on average
Chain
Avamere27 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 45

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

NameRoleSinceShare
Avamere Skilled Advisors LLC Organization, Wilsonville, OR LLC, For-profit Operational/Managerial Control Apr 1, 2013
Adp of the SNF Jul 9, 2025
Nancy Adams Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Adp of the SNF Dec 31, 2024
Michelle Funderberg Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Dec 31, 2024
Organization, Tustin, CA Corporation, Holding company, For-profit, Real estate investment trust (REIT) Adp of the SNF Aug 17, 2017
Karl Rickard Miller Individual Indirect Ownership Interest Apr 1, 2013 100%
Ari Operations, LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Apr 1, 2013 100%
Individual Adp of the SNF Jul 11, 2016
Katherine Fowler Individual Operational/Managerial Control Feb 28, 2025
Adp of the SNF Feb 28, 2025
Andrew Simpson Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jun 1, 2024
Midcap Finco LLC Organization, Bethesda, MD LLC, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jun 25, 2013 100%
Organization, Tustin, CA LLC, Holding company, For-profit Adp of the SNF Aug 7, 2015
Glen Robert Cavallo Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Ariso LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Apr 1, 2013 100%
Jaime Novais Individual Operational/Managerial Control Jan 1, 1996
Adp of the SNF Jan 1, 1996
Karl Rickard Miller Jr Revocable Trust Organization, Ketchum, ID Indirect Ownership Interest Apr 1, 2013 100%
Organization, Spokane Valley, WA Corporation, For-profit Adp of the SNF Aug 22, 2025
Avamere Health Services LLC Organization, Wilsonville, OR LLC, For-profit, Chain home office Operational/Managerial Control Apr 1, 2013
Adp of the SNF Jul 9, 2025
Ike Okoli Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Todd Inskeep Individual Managing Control - Governing BodyNon Voting Member Jan 21, 2022
Adp of the SNF Jan 21, 2022
Organization, Tustin, CA Holding company, For-profit Adp of the SNF Aug 17, 2017
Colby Strunk Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Adp of the SNF Sep 6, 2022
Justin Polson Individual Operational/Managerial Control Feb 10, 2025
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Feb 10, 2025
Joshua Griffith Individual Adp of the SNF Apr 1, 2024
Loriel Fanunal Individual Operational/Managerial Control Jan 2, 2023
Adp of the SNF Jan 2, 2023
Individual Adp of the SNF Feb 26, 2018
Organization, Wilsonville, OR LLC, For-profit Adp of the SNF Jul 9, 2025
Individual Adp of the SNF Oct 5, 2023
Kim Games Individual Adp of the SNF Aug 15, 2024
Michele Powelson Individual Operational/Managerial Control Mar 25, 2015
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Mar 25, 2015
Avamere Group LLC Organization, Wilsonville, OR Owned by another organization or individual Indirect Ownership Interest Apr 1, 2013 100%
Tonia Hoskins Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Organization, Charlotte, NC LLC, For-profit Adp of the SNF Jul 9, 2025
Mary Kofstad Individual Operational/Managerial Control Feb 13, 2024
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Feb 13, 2024
Yolanda Presley Individual Operational/Managerial Control Jan 6, 2025
Adp of the SNF Jan 6, 2025
Jolynn Munro Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Sep 1, 2023
Organization, Seattle, WA For-profit Adp of the SNF Jul 9, 2025
Cody Feakin Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jan 1, 2025
Misty Dawn Reid Individual Operational/Managerial Control Jan 2, 2025
Managing Control - Governing BodyNon Voting Member Jun 1, 2025
Adp of the SNF Jan 2, 2025
Amanda Sanders Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Kevin Hill Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Mar 12, 2022
Kristi Lott Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018
Organization, Tustin, CA LLC, Holding company, For-profit Adp of the SNF Aug 17, 2017
Jennifer Newman Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Erin Doss Individual Operational/Managerial Control Dec 7, 2018
Adp of the SNF Jul 9, 2025
Carrie Vanderzanden Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 8

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

Affiliated clinicians 4

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1982948535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 DEXTER AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091914",
            "telephone_number": "206-284-7012",
            "fax_number": "206-283-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 DEXTER AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091914",
            "telephone_number": "206-284-7012",
            "fax_number": "206-283-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "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/NhinServi",
            "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": "64 S Price Rd # B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.