Active NPI
Prest Op LLC
Doing business as Arcadia Healthcare Parkside
- Skilled Nursing Facility
- Union Gap, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1991
- Medicare certification status
- Active
- Certified beds
- 88
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| William Miller | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 5% |
| Goldner Capital Management LLC | 5% Or Greater Indirect Ownership Interest | Dec 2, 2020 | 65% |
| Prest MGMT | Operational/Managerial Control | Jun 1, 2021 | |
| Parkside Union Op Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 2, 2020 | 100% |
| Operational/Managerial Control | Dec 2, 2020 | 100% | |
| Susan Goldner | Other | Dec 2, 2020 | |
| Samuel Goldner | Corporate Officer | Dec 2, 2020 | 100% |
| Operational/Managerial Control | Dec 2, 2020 | 100% | |
| GCM Manager LLC | Other | Dec 2, 2020 | |
| GCM Parkside LLC | 5% Or Greater Indirect Ownership Interest | Dec 2, 2020 | 65% |
| Goldner Family Trust | 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.
-
- Adolescent Medicine (Family Medicine) Physician
- University Place, WA
- NPI 1790803443
-
- Family Medicine Physician
- Hartford, CT
- NPI 1942657671
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Family Medicine) Physician
- University Place, WA
- NPI 1790803443
Nursing home
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
- Parkside Care LLC
- Parkside Opco LLC (Advanced Healthcare of the Valley)
- Deborah Ann Parries, RPH
- Sonia Perez, RN
- Sarah Matthea Perlman, CNP
- Jessica Renee Ramynke, LPN
- Renal Treatment Centers West Inc (Union Gap Dialysis)
- John Erik Richardson I, PHARMD
- Douglas Robert Ricks, O.D.
- Stephen Ezra Robertson, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.