PARKSIDE HEALTHCARE LLC (NPI# 1457346512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457346512 |
Entity Type | Organization |
Organization Name | PARKSIDE HEALTHCARE LLC |
Practice Address |
1230 Monitor St Wenatchee WA 98801-3534 |
Mailing Address |
625 Okanogan Ave Wenatchee WA 98801-6409 |
Practice Telephone | 5096621636 |
Practice Fax Number | 5096628690 |
Mailing Telephone | 5096621636 |
Mailing Fax Number | 5096628690 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. DIANA V WILEY (CONTROLLER) |
Authorized Official Telephone | 5096621636 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | NH 1307 | WA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 4113072 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174951412 | Parkside Healthcare LLC | Home Health | 2789 Rafferty Rd, Hemet, CA 92545-3630 | 2013-10-23 |
Street Address |
1230 MONITOR ST |
City | WENATCHEE |
State | WA |
Zip Code | 98801-3534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114524576 | Neddy Leppanen-armijo | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-10-07 |
1962017863 | Erin A Robards | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-09 |
1083228068 | Tohnya P Shuffield | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-07 |
1003420084 | Kayla M Houck | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-07 |
1700400967 | Matea R Flores | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-06-03 |
1588209902 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-11-08 |
1346883063 | Sam Lynn Shearman | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-10-25 |
1346899655 | Ethan Henry Wall | Licensed Practical Nurse | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-09-09 |
1679121651 | Amanda Jane Blalock | Registered Nurse | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-09-03 |
1851953640 | Michelle L Dodge | Licensed Psychiatric Technician | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
Find all providers in zip 98801 |
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 |
---|---|---|---|---|
1215966312 | Regency Wenatchee LLC | Skilled Nursing Facility | 1326 Red Apple Rd, Wenatchee, WA 98801-3227 | 2006-07-01 |
1184619249 | Colonial Vista Care Centers, LLC | Skilled Nursing Facility | 625 Okanogan Ave., Wenatchee, WA 98801 | 2005-09-14 |
1942653027 | Care Center Wenatchee Inc | Skilled Nursing Facility | 625 Okanogan Ave, Wenatchee, WA 98801-6409 | 2016-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
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.