Active NPI
Baycrest Estates, LLC
- Skilled Nursing Facility
- North Bend, OR
National Provider Identifier
1023486883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.