EAGLE HEALTHCARE, INC (NPI# 1316034473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316034473 |
| Entity Type | Organization |
| Organization Name | EAGLE HEALTHCARE, INC |
| Other Organization Name | PARKSIDE NURSING CARE CENTER |
| Practice Address |
308 W Emma St Union Gap WA 98903-1940 |
| Mailing Address |
12015 115th Ave Ne # E195 Kirkland WA 98034-6940 |
| Practice Telephone | 5092481985 |
| Practice Fax Number | 5092480681 |
| Mailing Telephone | 4252853891 |
| Mailing Fax Number | 4252853899 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | MR. GREG SCHMIDT (CONTROLLER) |
| Authorized Official Telephone | 4252853891 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLE HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1310 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4113106 | 05 |
| Other Name | Type Code |
|---|---|
| PARKSIDE NURSING CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578616041 | Eagle Healthcare, Inc | Skilled Nursing Facility | 912 Hillcrest Ave, Grandview, WA 98930-1441 | 2007-01-19 |
| 1588751697 | Eagle Healthcare, Inc | Skilled Nursing Facility | 1242 11th St, Clarkston, WA 99403-2815 | 2006-10-09 |
| 1679665269 | Eagle Healthcare, Inc | Skilled Nursing Facility | 1036 E Victoria Ave, Burlington, WA 98233-1623 | 2006-09-29 |
| 1659470193 | Eagle Healthcare, Inc | Skilled Nursing Facility | 745 Ne 122nd Ave, Portland, OR 97230-2001 | 2006-09-21 |
| 1629175963 | Eagle Healthcare, Inc | Skilled Nursing Facility | 155 Alder Street, Cathlamet, WA 98612-0338 | 2006-09-20 |
| 1265534622 | Eagle Healthcare, Inc | Skilled Nursing Facility | 1000 E. Elep Ave., Colville, WA 99114-0559 | 2006-09-05 |
| 1568497196 | Eagle Healthcare, Inc | Skilled Nursing Facility | 10909 Ne 185th St, Bothell, WA 98011-1709 | 2006-07-12 |
| 1649251653 | Eagle Healthcare, Inc | Skilled Nursing Facility | 2818 Ne 145th St, Shoreline, WA 98155-7556 | 2005-11-07 |
| 1962493015 | Eagle Healthcare, Inc | Skilled Nursing Facility | 721 Otis Ave, Sunnyside, WA 98944-2328 | 2005-10-28 |
| 1265421978 | Eagle Healthcare, Inc | Skilled Nursing Facility | 1745 Pike Ave, Richland, WA 99354-2295 | 2005-10-14 |
| Street Address |
308 W EMMA ST |
| City | UNION GAP |
| State | WA |
| Zip Code | 98903-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149551 | Contessa Allen | Physical Medicine & Rehabilitation | 308 W Emma St, Union Gap, WA 98903-1940 | 2015-07-18 |
| 1821478843 | Austin Anderson | Occupational Therapy Assistant | 308 W Emma St, Union Gap, WA 98903-1940 | 2015-06-04 |
| 1508290156 | Rose Dominique Mcfadden | Speech-Language Pathologist | 308 W Emma St, Union Gap, WA 98903-1940 | 2013-08-29 |
| 1730423757 | Care Center Union Gap Inc. | Skilled Nursing Facility | 308 W Emma St, Union Gap, WA 98903-1940 | 2012-11-15 |
| 1245524859 | Robin K Spooner | Speech-Language Pathologist | 308 W Emma St, Union Gap, WA 98903-1940 | 2011-06-01 |
| 1144481268 | Alan Henry Ashby | Physical Therapist | 308 W Emma St, Union Gap, WA 98903-1940 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1538704325 | Maria D. Valenzuela | Technician | 3908 1st St, Union Gap, WA 98903 | 2019-11-15 |
| 1730667668 | Patty Nygaard | Counselor | 4109 Holiday Ave, Union Gap, WA 98903 | 2018-08-02 |
| 1760994842 | Sonia Perez | Registered Nurse | 2000 S. 18th St., Union Gap, WA 98903 | 2017-10-30 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1568857845 | Rebecca Marie Berghoff | Registered Nurse | 55 West Washington Avenue, Unit #54, Yakima, WA 98903 | 2015-04-02 |
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1386882678 | Emily Mcphee | Counselor | 910 E Mead Ave, Yakima, WA 98903 | 2009-01-26 |
| 1427185826 | Ronald Spencer Senn | Dentist | 2100 14th St, Union Gap, WA 98903 | 2007-02-27 |
| Find all providers in zip 98903 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730423757 | Care Center Union Gap Inc. | Skilled Nursing Facility | 308 W Emma St, Union Gap, WA 98903-1940 | 2012-11-15 |
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| 1457840795 | Mission Healthcare At Renton, LLC | Skilled Nursing Facility | 17420 106th Pl Se, Renton, WA 98055-5438 | 2018-05-02 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1235662081 | Alexandra Vick | Skilled Nursing Facility | 18621 29th Ave E, Tacoma, WA 98445-4323 | 2017-04-08 |
| 1255883831 | Heron's Key | Skilled Nursing Facility | 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 | 2016-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.