Park Lido, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2038 Issued in WA

Legal business name

PARK LIDO, INC.

Practice address

8422 NE 8TH Way
Vancouver, WA 98664-1974

Phone

(360) 256-2980

Fax

(360) 256-1909

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Randall L. Scheel

Title

President

Phone

(360) 256-2980

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1447584594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 NE 8TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641974",
            "telephone_number": "360-256-2980",
            "fax_number": "360-256-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 NE 8TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641974",
            "telephone_number": "360-256-2980",
            "fax_number": "360-256-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LIDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "SCHEEL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-256-2980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412973",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tera Pareja, M.S. QMHP
• April Rene Parent, CDPT.CO.61221382
• Brenda Parent, AAC
• Kanwar Partap Singh Parhar
• Helen Louise Paris, M.A.
• Park Place Medical Center
• Cleo Park-Stevens
• Douglas J Park, PSYCHOLOGIST PHD
• Eun K. Park, MD
• Gloria Y Park, PHARM D

• Assisted Living Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.