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REGENCY AT SALEM LLC NPI 1902040769


NPI Information

NPI: 1902040769
Provider Name: REGENCY AT SALEM, LLC

Doing Business As: REGENCY WOODLAND

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4710 SUNNYSIDE RD SE
SALEM, OR
ZIP 97302
Phone: (503) 364-1355
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REGENCY AT SALEM, LLC is an assisted living facility in Salem, 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. REGENCY AT SALEM, LLC NPI is 1902040769. The provider is registered as an organization entity type.
The provider Is Doing Business As Regency Woodland.

The provider's business location address is:

4710 SUNNYSIDE RD SE
SALEM, OR
ZIP 97302-504
Phone: (503) 364-1355

The provider's authorized official is Doug Devore .
The authorized official title is Cfo and has the following contact phone number (425) 392-4066.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility1848273693OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11848273693OTHEROREGONSTATE LICENSE

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: 11/14/2023

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