# EAGLE HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE HEALTHCARE, INC
- **Other names:** PINEHURST PARK TERRACE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649251653
- **Legal business name:** EAGLE HEALTHCARE, INC
- **Authorized official:** MR. GREG SCHMIDT (CONTROLLER)
- **Authorized official phone:** (425) 285-3891

## Contact information

- **Practice address:** 2818 NE 145TH ST, SHORELINE, WA 98155-7556
- **Practice address phone:** (206) 364-8810
- **Practice address fax:** (206) 417-8400
- **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 | 1115 | WA | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 01/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4111159 | — | WA |