Organization Active NPI

Prest Op LLC

Doing business as Arcadia Healthcare Parkside

  • Skilled Nursing Facility
  • Union Gap, WA
National Provider Identifier
1366034449
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PREST OP LLC
Doing business as
Arcadia Healthcare Parkside
Practice address
308 W Emma St
Union Gap, WA 98903-1940
Phone
(509) 248-1985
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Samuel Goldner
Title
Authorized Designee
Phone
(516) 727-1634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

308 W Emma St
Union Gap, WA 98903-1940

Mailing address

308 W Emma St
Union Gap, WA 98903-1940

Other names 1

  • Arcadia Healthcare Parkside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526000892 WA Part A Provider - Skilled Nursing Facility 1850790759 Practice locations: Union Gap, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366034449. Details of each certification follow.

Skilled nursing facility certification: CCN 505401

Legal name
PREST OP LLC
Doing business as
ARCADIA MEDICAL RESORT OF PARKSIDE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1991
Last certification
Feb 7, 2025
Beds
88
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Caldera Care
Organization structure
LLCProprietary
Incorporated
Dec 2, 2020 in DE
Enrollment address
308 W Emma St
Union Gap, WA 98903-1940

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkside CareCCN 505401 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8852.2 residents per day on average
Penalties (3 years)
4Fines totaling $205,277

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
William Miller Individual 5% Or Greater Indirect Ownership Interest Dec 23, 2021 5%
Goldner Capital Management LLC Organization, Cedarhurst, NY LLC 5% Or Greater Indirect Ownership Interest Dec 2, 2020 65%
Prest MGMT Organization, Cedarhurst, NY LLC, Management services company Operational/Managerial Control Jun 1, 2021
Parkside Union Op Holdings LLC Organization, Cedarhurst, NY LLC, Holding company 5% Or Greater Direct Ownership Interest Dec 2, 2020 100%
Operational/Managerial Control Dec 2, 2020 100%
Susan Goldner Individual Other Dec 2, 2020
Samuel Goldner Individual Corporate OfficerPresident Dec 2, 2020 100%
Operational/Managerial ControlPresident Dec 2, 2020 100%
GCM Manager LLC Organization, Cedarhurst, NY LLC Other Dec 2, 2020
GCM Parkside LLC Organization, Cedarhurst, NY LLC 5% Or Greater Indirect Ownership Interest Dec 2, 2020 65%
Goldner Family Trust Organization, Cedarhurst, NY 5% Or Greater Indirect Ownership Interest Dec 2, 2020 65%

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1366034449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W EMMA ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031940"
        },
        {
            "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": "PREST OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED DESIGNEE",
        "authorized_official_telephone_number": "516-727-1634"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Healthcare Parkside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union Gap, WA

Sources for this page

Verify at the official NPI Registry.