NPIMap

Organization Active NPI

BD Prineville II LLC

Doing business as Regency Prineville Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Prineville, OR
National Provider Identifier
1073732434
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1392620563 Issued in OR
Legal business name
BD PRINEVILLE II LLC
Doing business as
Regency Prineville Rehabilitation and Nursing Center
Practice address
950 NE Elm St
Prineville, OR 97754-1619
Phone
(541) 447-7667
Fax
(541) 447-6685
NPI assigned
Apr 24, 2007
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Mr. Doug Devore
Title
President
Phone
(425) 392-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1392620563 OR Primary

Addresses

Primary practice location

950 NE Elm St
Prineville, OR 97754-1619

Mailing address

3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066

Other identifiers 2

IdentifierTypeStateIssuer
500620749MedicaidOR
800085MedicaidOR

Other names 1

  • Regency Prineville Rehabilitation and Nursing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000208 OR Part A Provider - Skilled Nursing Facility 4385796325 Practice locations: Prineville, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073732434. Details of each certification follow.

Skilled nursing facility certification: CCN 385261

Legal name
BD PRINEVILLE II LLC
Doing business as
REGENCY PRINEVILLE REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 3, 2000
Last certification
Aug 16, 2024
Beds
44
Ownership / control type
Corporation
Multi-facility organization
Regency Pacific Management
Organization structure
LLCProprietary
Incorporated
Feb 23, 2009 in OR
Enrollment address
950 NE Elm St
Prineville, OR 97754-1619
Nursing home name
REGENCY PRINEVILLE REHABILITATION & NURSING CENTER
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency Prineville Rehabilitation and Nursing CentCCN 385261 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 3, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4430.9 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

950 NE Elm St
Prineville, OR 97754
Phone (541) 447-7667

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrew Rapp Individual Operational/Managerial Control Mar 8, 2016
Adp of the SNF Mar 8, 2016
Omnicare LLC Organization, Woonsocket, RI LLC, Medical provider/supplier Adp of the SNF Sep 1, 2013
Regency Pacific Management LLC Organization, Bellevue, WA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Apr 1, 2010
Adp of the SNF Aug 26, 2025
Organization, Portland, OR Corporation, Consulting firm Adp of the SNF Jul 8, 2025
Yolanda B Suarez Individual Operational/Managerial Control Feb 1, 2026
Adp of the SNF Feb 1, 2026
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jul 8, 2025
Sandra Beddoe Individual Adp of the SNF May 1, 2017
BD Facilities LLC Organization, Bellevue, WA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2010 100%
Adp of the SNF Jul 5, 2025
Marvin B Beddoe Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2010 98.5%
Operational/Managerial ControlCeo Apr 1, 2010 98.5%
Adp of the SNF Apr 1, 2010
Lee Garber Individual Operational/Managerial Control Dec 27, 2018
Adp of the SNF Dec 27, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1073732434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066",
            "fax_number": "425-623-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NE ELM ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541619",
            "telephone_number": "541-447-7667",
            "fax_number": "541-447-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD PRINEVILLE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-392-4066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "1392620563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500620749",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800085",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Prineville Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

Verify at the official NPI Registry.