Organization Active NPI

China Creek VI, LLC

Doing business as Regency Newcastle

  • Assisted Living Facility
  • Newcastle, WA
National Provider Identifier
1154788529
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2018 Issued in WA
Legal business name
CHINA CREEK VI, LLC
Doing business as
Regency Newcastle
Practice address
7454 Newcastle Golf Club Rd
Newcastle, WA 98059-9176
Phone
(425) 453-1508
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
M Bart Beddoe
Title
Member
Phone
(425) 623-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2018 WA Primary

Addresses

Primary practice location

7454 Newcastle Golf Club Rd
Newcastle, WA 98059-9176

Mailing address

3326 160TH Ave SE Suite 120
Bellevue, WA 98008
Phone (425) 623-1466

Other names 1

  • Regency Newcastle Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2116187Regency Newcastle7454 Newcastle Golf Club Rd, Newcastle, WA 98059Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1154788529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98008",
            "telephone_number": "425-623-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7454 NEWCASTLE GOLF CLUB RD",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980599176",
            "telephone_number": "425-453-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINA CREEK VI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "M BART",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-623-1466"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Newcastle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newcastle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.