Presbyterian Retirement Communities Northwest

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH 183 Issued in WA

Legal business name

PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST

Practice address

1630 43Rd Ave E
Seattle, WA 98112-6210

Phone

(206) 329-0770

Fax

(206) 329-0227

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Janet E Nahlin, RN

Title

Director of Nursing Services

Phone

(206) 329-0770

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Park Shore Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505493

Legal name

PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST

Doing business as

PARKSHORE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 10, 1995

Last certification

Oct 16, 2024

Beds

28

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Transforming Age

Organization structure

CorporationNon-profit

Incorporated

Jul 12, 1956 in WA

Enrollment address

1630 43Rd Ave E
Seattle, WA 98112-6210

Nursing home name

PARK SHORE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Presbyterian Retirement Communities Northwest

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1306834627

  8224177829

  Same PAC ID

Listed as

Park ShoreCCN 505493

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Aug 10, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2817.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Exter House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Presbyterian Retirement Communities Northwest

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1306834627
  NPD tax ID

Locations

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Douglas S Diekema

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Seattle, WA
  • NPI 1720178619

  Other

  CMS ownership
• Presbyterian Retirement Communities Northwest

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1306834627

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Presbyterian Retirement Communities Northwest

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1306834627

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Presbyterian Retirement Communities Northwest

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1306834627

  Presbyterian Retirement Communities Northwest

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• George E Haddad, MD

  • Hospitalist Physician
  • Seattle, WA
  • NPI 1225191265

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801887641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 43RD AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981126210",
            "telephone_number": "206-329-0770",
            "fax_number": "206-329-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 43RD AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981126210",
            "telephone_number": "206-329-0770",
            "fax_number": "206-329-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NAHLIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING SERVICES",
        "authorized_official_telephone_number": "206-329-0770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 183",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111670",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE",
            "identifier": "489",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARDINGHOME LICENSE",
            "identifier": "BH 183",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Prentice, MSW, CDP
• Patricia Abel Prentice, M.S., R.D.
• Kathleen Anne Preppernau, M.S.W.
• Presbyterian Counseling Service
• Presbyterian Retirement Communities Northwest
• Chelsea Marie Prescott
• Margaret Verena Prescott, M.AM
• Susan Gail Prescott, LICSW
• Presence Therapy PLLC
• Shannon Troy Presler, RN, PMHNP-BC

• Assisted Living Facility in Seattle, WA
• Providers in Seattle, 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 11, 2025; 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.

Verify at the official NPI Registry.