Active NPI
BTW Mt. Bachelor Opco, LLC
- Assisted Living Facility
- Bend, OR
National Provider Identifier
1134957707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BTW MT. BACHELOR OPCO, LLC
- Doing business as
- Mt. Bachelor Memory Care
- Practice address
- 20225 Powers Rd
Bend, OR 97702-2128 - Phone
- (541) 318-3322
- NPI assigned
- Jul 24, 2024
- 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
- Christian N Cummings
- Title
- Authorized Representative
- Phone
- (312) 660-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
20225 Powers Rd
Bend, OR 97702-2128
Mailing address
20225 Powers Rd
Bend, OR 97702-2128
Phone (541) 318-3322
Other names 1
- Mt. Bachelor Memory Care
National Provider Directory
National Provider Directory- Tax ID family
- BTW Mt Bachelor Opco LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Bend, OR
- NPI 1336977909
-
- Assisted Living Facility
- Bend, OR
- NPI 1396573978
Locations
20225 Powers Rd
Bend, OR 97702
Phone (541) 318-3322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1134957707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20225 POWERS RD",
"city": "BEND",
"state": "OR",
"postal_code": "977022128",
"telephone_number": "541-318-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20225 POWERS RD",
"city": "BEND",
"state": "OR",
"postal_code": "977022128",
"telephone_number": "541-318-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BTW MT. BACHELOR OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-24",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "CUMMINGS",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "312-660-3800"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mt. Bachelor Memory Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.