BFG Olympia Propco III, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BFG OLYMPIA PROPCO III, LLC

Practice address

710 Fieldstone Dr SW
Olympia, WA 98502-5500

Phone

(360) 250-9229

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Faye Gordon, DO

Title

Manager Director of Compliance

Phone

(509) 426-2756

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fieldstone Memory Care of Olympia Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1174097224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N 40TH AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989084330",
            "telephone_number": "509-426-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FIELDSTONE DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025500",
            "telephone_number": "360-250-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFG OLYMPIA PROPCO III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "MANAGER DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "509-426-2756",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fieldstone Memory Care of Olympia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlie Alexander Best
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• Leanna Beyer
• Poonam Bhagia
• Sunpreet Kaur Bhangoo, R.N.
• Anurita Bhatti
• Puneet Bhullar, MD
• Stacey Marie Biddle

• Assisted Living Facility in Olympia, WA
• Providers in Olympia, 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 Jan 11, 2019; 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.