MBALMC BEND CARE PROPERTIES LLC NPI 1689290371

NPI Information

NPI: 1689290371
Provider Name: MBALMC BEND CARE PROPERTIES, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
20215 POWERS RD
BEND, OR
ZIP 97702
Phone: (541) 388-9800
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MBALMC BEND CARE PROPERTIES, LLC is an assisted living facility in Bend, OR. The provider is 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. MBALMC BEND CARE PROPERTIES, LLC NPI is 1689290371. The provider is registered as an organization entity type.

The provider's business location address is:

20215 POWERS RD
BEND, OR
ZIP 97702-705
Phone: (541) 388-9800
Fax: (541) 388-9005

The provider's authorized official is Gregory Roderick .
The authorized official title is Member and has the following contact phone number (503) 443-1818.

The enumeration date for this NPI number is 6/18/2020 and was last updated on 6/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	527678	MEDICAID	OREGON
2	527679	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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