FM REDWOOD HEIGHTS, LLC (NPI# 1689290231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689290231 |
| Entity Type | Organization |
| Organization Name | FM REDWOOD HEIGHTS, LLC |
| Practice Address |
4050 12th St Cutoff Se Salem OR 97302-1775 |
| Mailing Address |
7420 Sw Bridgeport Rd Ste 105 Portland OR 97224-7790 |
| Practice Telephone | 5035400822 |
| Practice Fax Number | 5033612237 |
| Mailing Telephone | 5035974906 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | GREGORY RODERICK (MEMBER) |
| Authorized Official Telephone | 5034431818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 526919 | 05 |
| Other Name | Type Code |
|---|---|
| Redwood Heights Assisted Living | Doing Business As Name - Organization |
| Street Address |
4050 12TH ST CUTOFF SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1720604499 | Fm Cedar Village, LLC | Assisted Living Facility | 4452 Lancaster Dr Ne, Salem, OR 97305-1697 | 2020-06-18 |
| 1154946457 | Willson House | Assisted Living Facility | 1625 Center St Ne, Salem, OR 97301-4268 | 2020-06-11 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1902040769 | Regency At Salem, LLC | Assisted Living Facility | 4710 Sunnyside Rd Se, Salem, OR 97302-3504 | 2009-04-23 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1750522389 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1916 S Lincoln Ave, Salem, OH 44460-4385 | 2009-03-11 |
| 1265694111 | Meadow Creek Limited Partnership | Assisted Living Facility | 3988 12th St Se, Salem, OR 97302 | 2008-07-01 |
| 1730347097 | Salem Elderly Living LLC | Assisted Living Facility | 600 S Hill St, Salem, SD 57058-8707 | 2008-05-22 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| Find all providers in SALEM | ||||
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| 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.