FM CEDAR VILLAGE, LLC


Address: 4452 Lancaster Dr Ne, Salem, OR 97305-1697
Phone: 5033909600

FM CEDAR VILLAGE, LLC (NPI# 1720604499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720604499
Entity Type Organization
Organization Name FM CEDAR VILLAGE, LLC
Practice Address 4452 Lancaster Dr Ne
Salem
OR 97305-1697
Mailing Address 7420 Sw Bridgeport Rd Ste 105
Portland
OR 97224-7790
Practice Telephone 5033909600
Practice Fax Number 5033909152
Mailing Telephone 5035974906
Mailing Fax Number 5034431919
Enumeration Date 2020-06-18
Last Update Date 2020-06-18
Authorized Official Name GREGORY A RODERICK (MEMBER)
Authorized Official Telephone 5034431818
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 526907 05
OR 526908 05

Other Provider/Organization Names

Other Name Type Code
Cedar Village Assisted Living & Memory Care Doing Business As Name - Organization

Office Location

Street Address 4452 LANCASTER DR NE
City SALEM
State OR
Zip Code 97305-1697

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689290231 Fm Redwood Heights, LLC Assisted Living Facility 4050 12th St Cutoff Se, Salem, OR 97302-1775 2020-06-19
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

Competitor

Search similar providers

City SALEM
Zip Code 97305

Improve Information

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Dataset Information

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.

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