Entrust Community Services

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

ENTRUST COMMUNITY SERVICES

Practice address

213 S 11TH Ave
Yakima, WA 98902-3220

Phone

(509) 834-1220

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Tom R Gaulke

Title

Ceo

Phone

(509) 834-1220

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1922515519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9727",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989090727",
            "telephone_number": "509-834-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023220",
            "telephone_number": "509-834-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRUST COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "GAULKE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-834-1220"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093418",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley Dee Encinas
• Elizabeth Lee Engelhardt, MD
• Kaja Englund, CDPT
• Mary Englund
• Yoselin Enriquez
• Timothy Richard Entzeroth, CRNA
• Kayla Epperly
• Brandie Epperson
• Caroline Joy Erickson, LMHC
• Janet Mary Erickson, MSW LSW

• Respite Care in Yakima, WA
• Providers in Yakima, WA by specialty
• Respite Care in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.