EMERALD CITY ESF II LLC
NPI 1912887423
Psychiatric Residential Treatment Facility in Tacoma, WA

Active since September 04, 2025
3711 PACIFIC AVE, TACOMA, WA 98418(253) 230-6912 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emerald City Esf Ii Llc NPPES

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

EMERALD CITY ESF II LLC (NPI 1912887423) is a healthcare organization registered as a psychiatric residential treatment facility in Tacoma, Washington and active in the NPI registry since September 2025. The organization lists Boray Thach, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912887423
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameEMERALD CITY ESF II LLC
Location Address3711 PACIFIC AVETacoma, WA 98418-7827
Mailing Address3711 Pacific AveTacoma, WA 98418-7827 · (253) 230-6912
Organization SubpartNo
Authorized OfficialBoray ThachAdministrator · (253) 230-6912
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1912887423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
3711 PACIFIC AVE, Tacoma, WA 98418

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald City Esf Ii Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Emerald City Esf II LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1396591822
3711 PACIFIC AVE
Tacoma, WA 98418
(253) 230-6912
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emerald City Esf II LLC's NPI number?

The NPI number for Emerald City Esf II LLC is 1912887423. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Emerald City Esf II LLC located?

Emerald City Esf II LLC is located at 3711 Pacific Ave, Tacoma, WA 98418. The listed phone number is (253) 230-6912.

What is Emerald City Esf II LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Is Emerald City Esf II LLC enrolled in Medicare?

Yes. Emerald City Esf II LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerald City Esf II LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Emerald City Esf II LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Emerald City Esf II LLC accept?

Health plans from Ambetter Health list Emerald City Esf II LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emerald City Esf II LLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.