Eagle Healthcare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1118 Issued in WA

Legal business name

EAGLE HEALTHCARE, INC

Doing business as

Grandview Healthcare Center

Practice address

912 Hillcrest Ave
Grandview, WA 98930-1441

Phone

(509) 882-1200

Fax

(509) 882-5161

NPI assigned

Jan 19, 2007

Last updated

Dec 9, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

EAGLE HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Mr. Greg Schmidt

Title

Controller

Phone

(425) 285-3891

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRANDVIEW HEALTHCARE CENTER Doing business as

Part of

Eagle Assisted Living

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1578616041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 115TH AVE NE # E195",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346940",
            "telephone_number": "425-285-3891",
            "fax_number": "425-285-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 HILLCREST AVE",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301441",
            "telephone_number": "509-882-1200",
            "fax_number": "509-882-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTHCARE, INC",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "425-285-3891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111183",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDVIEW HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Delgado
• Brandon Dempsey
• Madison Jo Diener
• Nicolette C. Dressler, MD
• Sophia Kathryn Dunlap, REGISTERED DIETITIAN
• Karen L Easton, M.D.
• Abdelrahim Eljack
• Alma Yuri Escareno
• Christopher Estrada, MASSAGE THERAPIST
• Miguel Alexander Faria Muscatello

• Skilled Nursing Facility in Grandview, WA
• Providers in Grandview, 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 Dec 9, 2008; 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.