PARKSIDE OPCO LLC
NPI 1275363194
Skilled Nursing Facility in Union Gap, WA

Active since August 05, 2024CLIA 50D0638465 · Waiver
308 W EMMA ST, UNION GAP, WA 98903(509) 248-1985 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Parkside Opco Llc NPPES

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

PARKSIDE OPCO LLC (NPI 1275363194), doing business as Advanced Healthcare Of The Valley, is a healthcare organization registered as a skilled nursing facility in Union Gap, Washington and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Levi Lazar, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1275363194
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARKSIDE OPCO LLC
Location Address308 W EMMA STUnion Gap, WA 98903-1940
Mailing Address308 W Emma StUnion Gap, WA 98903-1940
Organization SubpartNo
Authorized OfficialLevi LazarAuthorized Representative · (917) 754-7700
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
NPI 1275363194 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.
308 W EMMA ST, Union Gap, WA 98903

Other Names 1

Doing Business AsAdvanced Healthcare Of The Valley

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 50D0638465

Parkside Care · Union Gap, WA
Active · expires Apr 4, 2028
CLIA Number50D0638465
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 23, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVirginia M. Montgomery
Laboratory Phone(509) 248-1985
Laboratory LocationParkside Care308 W Emma St, Union Gap, WA 98903
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
308 W EMMA ST
UNION GAP, WA 98903
Speech-Language Pathologist
308 W EMMA ST
UNION GAP, WA 98903
Skilled Nursing Facility
308 W EMMA ST
UNION GAP, WA 98903
Skilled Nursing Facility
308 W EMMA ST
UNION GAP, WA 98903
Skilled Nursing Facility
308 W EMMA ST
UNION GAP, WA 98903
Skilled Nursing Facility
308 W EMMA ST
UNION GAP, WA 98903
Physical Medicine & Rehabilitation
308 W EMMA ST
UNION GAP, WA 98903
Skilled Nursing Facility
308 W EMMA ST
UNION GAP, WA 98903

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 Opco LLC's NPI number?

The NPI number for Parkside Opco LLC is 1275363194. It was assigned to this organization in the NPPES registry on August 5, 2024. The provider is doing business as Advanced Healthcare of the Valley.

Where is Parkside Opco LLC located?

Parkside Opco LLC is located at 308 W Emma St, Union Gap, WA 98903. The listed phone number is (509) 248-1985.

What is Parkside Opco LLC's specialty?

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

Does Parkside Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0638465) 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 Opco LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.