Organization Active NPI

Baycrest Estates, LLC

  • Skilled Nursing Facility
  • North Bend, OR
National Provider Identifier
1023486883
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAYCREST ESTATES, LLC
Doing business as
Baycrest Health & Rehabilitation
Practice address
3959 Sheridan Ave
North Bend, OR 97459-2834
Phone
(541) 756-5141
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kent M Emry
Title
Member
Phone
(503) 884-0895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OR Primary

Addresses

Primary practice location

3959 Sheridan Ave
North Bend, OR 97459-2834

Mailing address

4676 Commercial St SE # 958
Salem, OR 97302-1902
Phone (503) 689-1808

Other names 1

  • Baycrest Health & Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1023486883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 COMMERCIAL ST SE # 958",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021902",
            "telephone_number": "503-689-1808",
            "fax_number": "503-585-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 SHERIDAN AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592834",
            "telephone_number": "541-756-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCREST ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "EMRY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-884-0895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baycrest Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.