W Emma St Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

W EMMA ST HEALTHCARE LLC

Doing business as

Parkside Nursing and Rehabilitation

Practice address

308 W Emma St
Union Gap, WA 98903-1940

Phone

(509) 248-1985

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Miller

Title

Ceo

Phone

(253) 268-2410

Specialties & licenses 1

Addresses

Other names 1

• Parkside Nursing and Rehabilitation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1245913177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-268-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W EMMA ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031940",
            "telephone_number": "509-248-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W EMMA ST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-268-2410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Alexandra Trevino, RN
• Union Gap School District
• Sikarin Upala, M.D.
• Maria D. Valenzuela
• Vista Eyecare & Wellness
• Walla Walla Vamc
• Washington CVS Pharmacy LLC (CVS Pharmacy #11675)
• Craig D Whittlesey, MD
• Benjamin Christopher Winters, O.D.
• Yakima Health District

• Skilled Nursing Facility in Union Gap, WA
• Providers in Union Gap, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.