Parkway North Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1406 Issued in WA

Legal business name

PARKWAY NORTH CARE CENTER

Practice address

12015 115TH Ave NE
BLDG E Suite 195
Kirkland, WA 98034-6940

Phone

(425) 285-3883

Fax

(425) 285-3887

NPI assigned

Feb 8, 2007

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

Ms. Leslie Thieme

Title

President

Phone

(425) 285-3883

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eagle Healthcare at Camas2 organizations share this tax ID, including this one

Part of

Eagle Healthcare at Camas

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eagle Assisted Living

  • Assisted Living Facility
  • Richland, WA
  • NPI 1619053352
  NPD tax ID

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1710028303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048004",
            "telephone_number": "425-285-3883",
            "fax_number": "425-285-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 115TH AVE NE",
            "address_2": "BLDG E SUITE 195",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346940",
            "telephone_number": "425-285-3883",
            "fax_number": "425-285-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY NORTH CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTHCARE, INC",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "THIEME",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-285-3883",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112298",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Parker
• Nicole M Parkhill, L.AC.
• Kristen R Parkin, PT
• Parks Psychotherapy, PLLC
• Anna Parks
• Richard R Parra, LMP
• Jeffrey Parrish, DDS
• Lacey Anne Surprenant Parsadmehr, RN
• Claire Parsons, PT
• Partington Plastic Surgery Center

• Skilled Nursing Facility in Kirkland, WA
• Providers in Kirkland, 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 May 27, 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.