RSL SPRINGFIELD, LLC (NPI# 1023634854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023634854 |
Entity Type | Organization |
Organization Name | RSL SPRINGFIELD, LLC |
Practice Address |
6135 E St Springfield OR 97478-7023 |
Mailing Address |
10220 Sw Greenburg Rd Ste 201 Portland OR 97223-5505 |
Practice Telephone | 5412250200 |
Practice Fax Number | 5417263177 |
Mailing Telephone | 5035952810 |
Mailing Fax Number | 5035952818 |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-06-17 |
Authorized Official Name | JAMES GUFFEE (PRESIDENT OF MANAGER) |
Authorized Official Telephone | 5035952810 |
Is Organization Subpart | Y |
Parent Organization Name | RADIANT COMPANIES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | RESIDENTIAL CARE FACILITY LICENSE | 1081890284 | 01 |
OR | 525575 | 05 | |
OR | 525987 | 05 |
Other Name | Type Code |
---|---|
SWEETBRIAR VILLA | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | RSL SPRINGFIELD, LLC | 10220 Sw Greenburg Road, Suite 201, Portland, OR 97223 |
Street Address |
6135 E ST |
City | SPRINGFIELD |
State | OR |
Zip Code | 97478-7023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
Find all providers in zip 97478 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
1649835034 | Joyco, Inc. | Assisted Living Facility | 2030 W Mount Vernon St, Springfield, MO 65802-4846 | 2019-05-01 |
1033648274 | Creekside At Elfindale | Assisted Living Facility | 1601 S Fort Ave, Springfield, MO 65807-8430 | 2017-06-10 |
1386039659 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 3540 E Cherokee St, Springfield, MO 65809-2833 | 2015-04-02 |
1023403391 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 2410 W Chesterfield Blvd, Springfield, MO 65807-8889 | 2015-04-02 |
1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
1851793285 | Timberlake Estates Slf, Lp | Assisted Living Facility | 2521 Empowerment Rd, Springfield, IL 62703-4983 | 2014-09-17 |
1851664981 | Sunrise Springfield Assisted Living LLC | Assisted Living Facility | 6541 Franconia Rd, Springfield, VA 22150-1801 | 2012-02-21 |
1215209226 | Bslc II | Assisted Living Facility | 1302 West Sunset, Springfield, MO 65807-5943 | 2012-02-07 |
1497998918 | Timberlake Senior Living | Assisted Living Facility | 2521 Empowerment Road, Springfield, IL 62703 | 2009-04-14 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97478 |
Please comment or provide details below to improve the information on RSL SPRINGFIELD, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.