PARKSIDE ADULT FAMILY HOME LLC
NPI 1265121800
Skilled Nursing Facility in West Richland, WA

Active since May 01, 2023CLIA 50D2313629 · Waiver
1702 S HIGHLANDS BLVD # A, WEST RICHLAND, WA 99353(168) 241-0388 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Parkside Adult Family Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKSIDE ADULT FAMILY HOME LLC (NPI 1265121800) is a healthcare organization registered as a skilled nursing facility in West Richland, Washington and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Judith K Nyaribo, Manager, as its authorized official.

NPPES Registry Identity

NPI1265121800
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARKSIDE ADULT FAMILY HOME LLC
Location Address1702 S HIGHLANDS BLVD # AWest Richland, WA 99353-6778
Mailing Address1702 S Highlands Blvd # AWest Richland, WA 99353-6778 · (168) 241-0388
Organization SubpartNo
Authorized OfficialJudith K NyariboManager · (168) 241-0388
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1265121800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1702 S HIGHLANDS BLVD # A, West Richland, WA 99353

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2313629

Parkside Adult Family Home · West Richland, WA
Active · expires Apr 4, 2028
CLIA Number50D2313629
Laboratory TypeAfh
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJudith K. Nyaribo
Laboratory Phone(509) 420-4424
Laboratory LocationParkside Adult Family Home1702 S Highlands Blvd, West Richland, WA 99353
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parkside Adult Family Home LLC's NPI number?

The NPI number for Parkside Adult Family Home LLC is 1265121800. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Parkside Adult Family Home LLC located?

Parkside Adult Family Home LLC is located at 1702 S Highlands Blvd # A, West Richland, WA 99353. The listed phone number is (168) 241-0388.

What is Parkside Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Parkside Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2313629) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkside Adult Family Home LLC was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.