EAGLE HEALTHCARE, INC (NPI# 1588751697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588751697 |
| Entity Type | Organization |
| Organization Name | EAGLE HEALTHCARE, INC |
| Other Organization Name | EAGLE REHABILITATION AT CLARKSTON |
| Practice Address |
1242 11th St Clarkston WA 99403-2815 |
| Mailing Address |
12015 115th Ave Ne #e195 Kirkland WA 98034 |
| Practice Telephone | 5097582523 |
| Practice Fax Number | 5097519427 |
| Mailing Telephone | 4252853891 |
| Mailing Fax Number | 4252853899 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | CURRAN WONG (CORPORATE SERVICES) |
| Authorized Official Telephone | 4252853886 |
| 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 | 1137 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4111373 | 05 |
| Other Name | Type Code |
|---|---|
| Eagle Rehabilitation at Clarkston | 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 |
| 1316034473 | Eagle Healthcare, Inc | Skilled Nursing Facility | 308 W Emma St, Union Gap, WA 98903-1940 | 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 |
1242 11TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177000 | Shiina Yasukawa | Speech-Language Pathologist | 1242 11th St, Clarkston, WA 99403-2815 | 2019-07-29 |
| 1598140188 | Kristina Heinrich | Physical Therapy Assistant | 1242 11th St, Clarkston, WA 99403-2815 | 2015-07-23 |
| 1124440797 | Jennifer Vigil-bingman | Occupational Therapist | 1242 11th St, Clarkston, WA 99403-2815 | 2014-01-15 |
| 1841548757 | Care Center Clarkston Inc. | Skilled Nursing Facility | 1242 11th St, Clarkston, WA 99403-2815 | 2012-08-27 |
| 1164690640 | Mindy L Renz | Physical Therapy Assistant | 1242 11th St, Clarkston, WA 99403-2815 | 2008-02-18 |
| 1841470515 | Terry Leroy Guptill | Physical Therapist | 1242 11th St, Clarkston, WA 99403-2815 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1508953787 | Ihs Acquisition No. 111, Inc. | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2006-10-07 |
| 1548699036 | Clarkston Operating Company LLC | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2013-11-05 |
| 1841548757 | Care Center Clarkston Inc. | Skilled Nursing Facility | 1242 11th St, Clarkston, WA 99403-2815 | 2012-08-27 |
| 1205039146 | Ihs Acquisition No 111, Inc. | Skilled Nursing Facility | 4800 Clintonville Rd, Clarkston, MI 48346-4297 | 2007-06-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.