Active NPI
RSL Springfield, LLC
- Assisted Living Facility
- Springfield, OR
National Provider Identifier
1023634854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- RSL SPRINGFIELD, LLC
- Practice address
- 6135 E St
Springfield, OR 97478-7023 - Phone
- (541) 225-0200
- Fax
- (541) 726-3177
- NPI assigned
- Jun 17, 2020
- Organization subpart
- Yes
- Parent organization
- RADIANT COMPANIES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Guffee
- Title
- President of Manager
- Phone
- (503) 595-2810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
6135 E St
Springfield, OR 97478-7023
Mailing address
10220 SW Greenburg Rd Ste 201
Portland, OR 97223-5505
Phone (503) 595-2810
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1081890284 | Other | OR | RESIDENTIAL CARE FACILITY LICENSE |
| 525575 | Medicaid | OR | |
| 525987 | Medicaid | OR |
Other names 1
- SWEETBRIAR VILLA
National Provider Directory
National Provider DirectoryLocations
6135 E St
Springfield, OR 97478
Phone (458) 215-3803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592352000000",
"number": "1023634854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 SW GREENBURG RD STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235505",
"telephone_number": "503-595-2810",
"fax_number": "503-595-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 E ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974787023",
"telephone_number": "541-225-0200",
"fax_number": "541-726-3177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RSL SPRINGFIELD, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIANT COMPANIES, INC.",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A",
"authorized_official_last_name": "GUFFEE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT OF MANAGER",
"authorized_official_telephone_number": "503-595-2810"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENTIAL CARE FACILITY LICENSE",
"identifier": "1081890284",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525575",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525987",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SWEETBRIAR VILLA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.