# EAGLE HEALTHCARE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE HEALTHCARE, INC
- **Other names:** PARKSIDE NURSING CARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316034473
- **Legal business name:** EAGLE HEALTHCARE, INC
- **Authorized official:** MR. GREG SCHMIDT (CONTROLLER)
- **Authorized official phone:** (425) 285-3891

## Contact information

- **Practice address:** 308 W EMMA ST, UNION GAP, WA 98903-1940
- **Practice address phone:** (509) 248-1985
- **Practice address fax:** (509) 248-0681
- **Mailing address:** 12015 115TH AVE NE \# E195, KIRKLAND, WA 98034-6940
- **Mailing address phone:** (425) 285-3891
- **Mailing address fax:** (425) 285-3899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1310 | WA | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 12/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113106 | — | WA |