Regency Coupeville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REGENCY COUPEVILLE, LLC

Practice address

311 NE 3Rd St
Coupeville, WA 98239-3427

Phone

(360) 678-2273

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Marvin Bart Beddoe

Title

Manager

Phone

(425) 392-4066

Specialties & licenses 1

Addresses

Other names 1

• Regency Coupeville Rehabilitation and Nursing Center Doing business as

Tax ID family

Regency Coupeville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regency Coupeville, LLC

  • Skilled Nursing Facility
  • Coupeville, WA
  • NPI 1508864935
  NPD tax ID

Locations

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1093326423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 3RD ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393427",
            "telephone_number": "360-678-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY COUPEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Coupeville Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario E Porras, M.D.
• Mary Irene Puhr, BSN,MN
• Rosa Linda Rangel, M.D.
• Michael Dean Rattray, PH.D.
• Katlaina Rayne, M.A,
• Regency Coupeville, LLC
• Sheri Dann Rhodes, R.N.
• Rising Phoenix Wellness Center, LLC
• Kimberly Douglas Robinson, MA, LMHC
• Sandra Marie Rodriguez

• Skilled Nursing Facility in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.