BD REDMOND IV LLC (NPI# 1720207186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720207186 |
| Entity Type | Organization |
| Organization Name | BD REDMOND IV LLC |
| Other Organization Name | REGENCY REDMOND REHABILITATION AND NURSING CENTER |
| Practice Address |
3025 Sw Reservoir Rd Redmond OR 97756-9481 |
| Mailing Address |
3326 160th Ave Se Suite 120 Bellevue WA 98008-6418 |
| Practice Telephone | 5415485066 |
| Practice Fax Number | 5415483752 |
| Mailing Telephone | 4253924066 |
| Mailing Fax Number | 4256231517 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | MR. DOUG DEVORE (CFO) |
| Authorized Official Telephone | 4253924066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1560569881 | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 800083 | 05 | |
| OR | 500620747 | 05 |
| Other Name | Type Code |
|---|---|
| Regency Redmond Rehabilitation and Nursing Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BD REDMOND IV LLC | 3025 Sw Reservoir Dr, Redmond, OR 97756-9481 |
| Street Address |
3025 SW RESERVOIR RD |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-9481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528191301 | Krista Jeanne Gault | Physical Therapist | 3025 Sw Reservoir Rd, Redmond, OR 97756-9481 | 2007-03-13 |
| 1437486727 | Dionne Elaine Ellerbrook | Licensed Practical Nurse | 3025 Sw Reservoir Rd, Redmond, OR 97756-9481 | 2009-11-08 |
| 1912149568 | Shirlee Evans | Physical Therapist | 3025 Sw Reservoir Rd, Redmond, OR 97756-9481 | 2009-03-28 |
| 1740421007 | Megan Elizabeth Gleason | Physical Therapist | 3025 Sw Reservoir Rd, Redmond, OR 97756-9481 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306186622 | Union Hill Healthcare, Inc. | Skilled Nursing Facility | 7900 Willows Rd Ne, Redmond, WA 98052-6813 | 2013-02-22 |
| 1861597205 | Eastside Retirement Association | Skilled Nursing Facility | 10901 176th Circle Ne, Redmond, WA 98052-7218 | 2006-09-13 |
| 1336147388 | Cascade Vista Convalescent Center, Inc. | Skilled Nursing Facility | 7950 Willows Rd Ne, Redmond, WA 98052-6813 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1689231383 | Marquis Companies I Inc | Skilled Nursing Facility | 410 Se Church Street, Sublimity, OR 97385 | 2019-05-29 |
| 1720528003 | Rashelle M Johnson | Skilled Nursing Facility | 2457 Ne Bobbi Pl, Prineville, OR 97754-9089 | 2017-03-06 |
| 1881133254 | Jessie Steele | Skilled Nursing Facility | 2693 Nw Crossing Dr, Bend, OR 97703-7347 | 2017-02-18 |
| 1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| 1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1508250762 | West Linn Care Ctr Operating Co, LLC | Skilled Nursing Facility | 2330 Deok Rd., West Linn, OR 97068-3902 | 2015-03-26 |
| 1568871770 | Keizer River Operations, LLC | Skilled Nursing Facility | 450 Clagett Ct. N, Keizer, OR 97303-4400 | 2014-08-13 |
| Find all providers with the same taxonomy | ||||
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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.