Active NPI
Seattle Operations, LLC
- Skilled Nursing Facility
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1976
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Avamere
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Avamere Skilled Advisors LLC | Operational/Managerial Control | Apr 1, 2013 | |
| Adp of the SNF | Jul 9, 2025 | ||
| Nancy Adams | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Dec 31, 2024 | ||
| Michelle Funderberg | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Dec 31, 2024 | ||
| Adp of the SNF | Aug 17, 2017 | ||
| Karl Rickard Miller | Indirect Ownership Interest | Apr 1, 2013 | 100% |
| Ari Operations, LLC | Indirect Ownership Interest | Apr 1, 2013 | 100% |
| Adp of the SNF | Jul 11, 2016 | ||
| Katherine Fowler | Operational/Managerial Control | Feb 28, 2025 | |
| Adp of the SNF | Feb 28, 2025 | ||
| Andrew Simpson | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Midcap Finco LLC | 5% Or Greater Security Interest | Jun 25, 2013 | 100% |
| Adp of the SNF | Aug 7, 2015 | ||
| Glen Robert Cavallo | Managing Control - Governing Body | Jun 1, 2025 | |
| Ariso LLC | Direct Ownership Interest | Apr 1, 2013 | 100% |
| Jaime Novais | Operational/Managerial Control | Jan 1, 1996 | |
| Adp of the SNF | Jan 1, 1996 | ||
| Karl Rickard Miller Jr Revocable Trust | Indirect Ownership Interest | Apr 1, 2013 | 100% |
| Adp of the SNF | Aug 22, 2025 | ||
| Avamere Health Services LLC | Operational/Managerial Control | Apr 1, 2013 | |
| Adp of the SNF | Jul 9, 2025 | ||
| Ike Okoli | Managing Control - Governing Body | Jun 1, 2025 | |
| Todd Inskeep | Managing Control - Governing Body | Jan 21, 2022 | |
| Adp of the SNF | Jan 21, 2022 | ||
| Adp of the SNF | Aug 17, 2017 | ||
| Colby Strunk | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Sep 6, 2022 | ||
| Justin Polson | Operational/Managerial Control | Feb 10, 2025 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Feb 10, 2025 | ||
| Joshua Griffith | Adp of the SNF | Apr 1, 2024 | |
| Loriel Fanunal | Operational/Managerial Control | Jan 2, 2023 | |
| Adp of the SNF | Jan 2, 2023 | ||
| Adp of the SNF | Feb 26, 2018 | ||
| Adp of the SNF | Jul 9, 2025 | ||
| Adp of the SNF | Oct 5, 2023 | ||
| Kim Games | Adp of the SNF | Aug 15, 2024 | |
| Michele Powelson | Operational/Managerial Control | Mar 25, 2015 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Mar 25, 2015 | ||
| Avamere Group LLC | Indirect Ownership Interest | Apr 1, 2013 | 100% |
| Tonia Hoskins | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Jul 9, 2025 | ||
| Mary Kofstad | Operational/Managerial Control | Feb 13, 2024 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Feb 13, 2024 | ||
| Yolanda Presley | Operational/Managerial Control | Jan 6, 2025 | |
| Adp of the SNF | Jan 6, 2025 | ||
| Jolynn Munro | Operational/Managerial Control | Sep 1, 2023 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Sep 1, 2023 | ||
| Adp of the SNF | Jul 9, 2025 | ||
| Cody Feakin | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Misty Dawn Reid | Operational/Managerial Control | Jan 2, 2025 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jan 2, 2025 | ||
| Amanda Sanders | Managing Control - Governing Body | Jun 1, 2025 | |
| Kevin Hill | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Mar 12, 2022 | ||
| Kristi Lott | Operational/Managerial Control | Nov 1, 2018 | |
| Adp of the SNF | Nov 1, 2018 | ||
| Adp of the SNF | Aug 17, 2017 | ||
| Jennifer Newman | Operational/Managerial Control | Nov 1, 2023 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Erin Doss | Operational/Managerial Control | Dec 7, 2018 | |
| Adp of the SNF | Jul 9, 2025 | ||
| Carrie Vanderzanden | Managing Control - Governing Body | 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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1396732863
Adp of the SNF, Operational/Managerial Control
-
- Psychiatric/Mental Health Nurse Practitioner
- Windsor, CO
- NPI 1851992176
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Burien, WA
- NPI 1912619321
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1508904467
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Issaquah, WA
- NPI 1053023499
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Shoreline, WA
- NPI 1316932114
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Sequim, WA
- NPI 1538146378
Avamere Health Services LLC
-
- Skilled Nursing Facility
- Shoreline, WA
- NPI 1366154791
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Seattle, WA
- NPI 1336851773
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1053459925
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Gladstone, OR
- NPI 1518001205
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Coos Bay, OR
- NPI 1831233519
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1922046606
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Eugene, OR
- NPI 1265576946
Avamere Health Services LLC
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kent, WA
- NPI 1073703294
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1003196478
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1376907568
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1396732863
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1801872635
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1902005549
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1629486089
-
- Psychiatric/Mental Health Nurse Practitioner
- Windsor, CO
- NPI 1851992176
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1376907568
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1801872635
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1629486089
Nursing home
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
- Seattle Northeast Chiropractic
- Seattle Nuclear Medicine-Ultrasound Associates
- Seattle Oasis, PLLC
- Seattle OBGYN Group
- Seattle of Cascadia LLC
- Seattle Ophthalmic Consultants PS
- Seattle Ophthalmology, PLLC
- Seattle Optometric Physicians PLLC
- Seattle Ortho Arts Physical Therapy, PLLC
- Seattle Orthopedic & Sports Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.