NPIMap

Organization Active NPI

Gig Harbor Operations, LLC

Doing business as Cottesmore of Life Care

  • Skilled Nursing Facility
  • Gig Harbor, WA
National Provider Identifier
1992759120
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH1368 Issued in WA
Legal business name
GIG HARBOR OPERATIONS, LLC
Doing business as
Cottesmore of Life Care
Practice address
2909 14TH Ave NW
Gig Harbor, WA 98335-1633
Phone
(253) 851-5433
Fax
(253) 851-6924
NPI assigned
May 20, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Cindy S. Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH1368 WA Primary

Addresses

Primary practice location

2909 14TH Ave NW
Gig Harbor, WA 98335-1633

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
4113684MedicaidWA

Other names 1

  • Cottesmore of Life Care Doing business as

Electronic endpoints 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000447 WA Part A Provider - Skilled Nursing Facility 8921097338 Practice locations: Gig Harbor, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992759120. Details of each certification follow.

Skilled nursing facility certification: CCN 505499

Legal name
GIG HARBOR OPERATIONS, LLC
Doing business as
COTTESMORE OF LIFE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 6, 1996
Last certification
Jan 13, 2025
Beds
108
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Care Centers of America
Organization structure
LLCProprietary
Enrollment address
2909 14TH Ave NW
Gig Harbor, WA 98335-1633
Nursing home name
COTTESMORE OF LIFE CARE
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cottesmore of Life CareCCN 505499 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 6, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
108102.5 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
2Fines totaling $29,595

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0722654Cottesmore of Life Care2909 14TH Ave NW, Gig Harbor, WA 98335Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

2909 14th Ave NW
Gig Harbor, WA 98335
Phone (253) 851-5433

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Feb 26, 1996 49%
Operational/Managerial Control Feb 26, 1996
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Feb 26, 1996 1%
Terry Henry Individual Corporate OfficerAsst Treasurer of Management Co. Aug 16, 1999
Todd Fletcher Individual 5% Or Greater Direct Ownership InterestMember Feb 26, 1996 50%
Operational/Managerial Control Feb 26, 1996
Adp of the SNF Aug 31, 2000
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Feb 26, 1996
Direct Ownership Interest Feb 26, 1996 1%
Aubrey Preston Individual Operational/Managerial Control Mar 6, 2025
Ryan Lockwood Individual Operational/Managerial Control Oct 31, 2023
Managing Control - Governing BodyAdministrator Oct 31, 2023
Adp of the SNF Mar 18, 2025
Joan E Thurmond Individual Corporate OfficerAsst Secretary of Management Co. Sep 22, 2000
Nancy Butner Individual Operational/Managerial Control Sep 16, 2018
Managing Control - Governing BodyDivisional Vice Predident Sep 16, 2018
Cindy S Cross Individual Corporate OfficerVP/Asst Secretary of Management Co. Feb 1, 1996
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Cathy Lee Verlinda Individual Operational/Managerial Control Jan 2, 2024
Managing Control - Governing BodyDirector of Nursing Jan 2, 2024
Richard Swanker Individual Corporate OfficerChief Tax Officer of Management Co. Apr 1, 2011
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 1996 100%
Adp of the SNF Mar 18, 2025
Maggie Sekeramayi Individual Operational/Managerial Control Aug 1, 2022
Adp of the SNF Mar 18, 2025
Lisa M Lay Individual Corporate OfficerSecretary of Management Company Feb 9, 2018
James Ziegler Individual Corporate OfficerVP/Treasurer of Management Co. Aug 16, 1999
Gig Harbor Operations, LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control May 1, 1996
Adp of the SNF Aug 31, 2000

Owners & managing parties with NPI records 26

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

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 1

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1992759120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 14TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351633",
            "telephone_number": "253-851-5433",
            "fax_number": "253-851-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIG HARBOR OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113684",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "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": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cottesmore of Life Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.