BFG Kennewick Master Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BFG KENNEWICK MASTER TENANT, LLC

Doing business as

Fieldstone Memory Care of Kennewick

Practice address

575 N Young St
Kennewick, WA 99336-7806

Phone

(509) 491-3945

Fax

(509) 491-3948

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert A Bourne

Title

Indirect Manager

Phone

(407) 644-6444

Specialties & licenses 1

Addresses

Other names 1

• Fieldstone Memory Care of Kennewick Doing business as

Tax ID family

BFG Kennewick Master Tenant LLC2 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.

• BFG Kennewick Master Tenant, LLC

  dba Fieldstone Grandridge Independent and Assisted Living

  • Assisted Living Facility
  • Kennewick, WA
  • NPI 1225532419
  NPD tax ID

Locations

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1174027114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N PARK AVE STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893886",
            "telephone_number": "407-644-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N YOUNG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-491-3945",
            "fax_number": "509-491-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFG KENNEWICK MASTER TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INDIRECT MANAGER",
        "authorized_official_telephone_number": "407-644-6444"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fieldstone Memory Care of Kennewick",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fieldstone Memory Care of Kennewick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Oliver Berry-Burkhart
• Christine Adelle Best, LMP
• Joanna Marie Bettineski, LMP
• Riley A Betzsold, LMT
• Alexis Joyce Beyers
• BFG Kennewick Master Tenant, LLC (Fieldstone Grandridge Independent and Assisted Living)
• Bi-State Occupational Safety & Health
• Elizabeth Bianchi, MD
• Virginia O Bice, OD
• Andrea L Bickford, L.M.P.

• Assisted Living Facility in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.