Active NPI
Regency Albany LLC
Doing business as Regency Albany
- Skilled Nursing Facility
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1270530342
- Legal business name
- REGENCY ALBANY LLC
- Doing business as
- Regency Albany
- Practice address
- 805 19TH Ave SE
Albany, OR 97322-4225 - Phone
- (541) 926-4741
- Fax
- (541) 926-6912
- NPI assigned
- May 7, 2007
- Last updated
- Feb 9, 2016
- 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
- Mr. Marvin B Beddoe
- Title
- Ceo
- Phone
- (425) 392-4066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1270530342 | OR | Primary |
Addresses
Primary practice location
805 19TH Ave SE
Albany, OR 97322-4225
Mailing address
3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800097 | Medicaid | OR |
Other names 1
- REGENCY ALBANY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100624000150 | OR | Part A Provider - Skilled Nursing Facility | 5597789719 | Practice locations: Albany, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235342353. Details of each certification follow.
Skilled nursing facility certification: CCN 385220
- Legal name
- REGENCY ALBANY LLC
- Doing business as
- REGENCY ALBANY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 13, 1990
- Last certification
- Nov 8, 2024
- Beds
- 74
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Regency Pacific Managment
- Organization structure
- LLC
- Enrollment address
- 805 19TH Ave SE
Albany, OR 97322-4225 - Nursing home name
- REGENCY ALBANY
- Affiliated entity
- REGENCY PACIFIC MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Regency Albany
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 13, 1990
- Medicare certification status
- Active
- Certified beds
- 74
- Chain
- Regency Pacific Management
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Regency Albany
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Albany, OR
- NPI 1538106380
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Andrew Rapp | Operational/Managerial Control | Mar 8, 2016 | |
| Adp of the SNF | Mar 8, 2016 | ||
| Adp of the SNF | Jul 8, 2025 | ||
| Omnicare LLC | Adp of the SNF | Sep 1, 2013 | |
| Regency Pacific Management LLC | Operational/Managerial Control | Apr 1, 2010 | 100% |
| Adp of the SNF | Aug 26, 2025 | ||
| Rebecca Hankey | Operational/Managerial Control | May 16, 2022 | |
| Adp of the SNF | May 16, 2022 | ||
| James Lee Clay | 5% Or Greater Direct Ownership Interest | Feb 16, 2006 | 40% |
| Adp of the SNF | Feb 16, 2006 | ||
| CBL Properties I LLC | Adp of the SNF | Dec 27, 2005 | |
| Marvin B Beddoe | 5% Or Greater Direct Ownership Interest | Feb 16, 2006 | 40% |
| Operational/Managerial Control | Feb 16, 2006 | ||
| Adp of the SNF | Dec 27, 2005 | ||
| Christopher R Morris | Operational/Managerial Control | Jul 17, 2017 | |
| Adp of the SNF | Jul 17, 2017 | ||
| Adp of the SNF | Jul 8, 2025 | ||
| Timothy H Lehner | 5% Or Greater Direct Ownership Interest | Feb 16, 2006 | 20% |
| Adp of the SNF | Feb 16, 2006 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Beaverton, OR
- NPI 1699960369
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 19
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Pilot Butte Rehabilitation Center
- Skilled Nursing Facility
- Bend, OR
- NPI 1831317726
Regency Pacific Management LLC
-
dba Cascade View Nursing Center
- Skilled Nursing Facility
- Bend, OR
- NPI 1558580993
Regency Pacific Management LLC
-
dba Regency Care of Rogue Valley
- Skilled Nursing Facility
- Grants Pass, OR
- NPI 1386863769
Regency Pacific Management LLC
-
dba Laurel Hill Nursing Center
- Skilled Nursing Facility
- Grants Pass, OR
- NPI 1275753279
Regency Pacific Management LLC
-
dba Regency Prineville Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Prineville, OR
- NPI 1073732434
Regency Pacific Management LLC
-
dba Regency Redmond Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Redmond, OR
- NPI 1720207186
Regency Pacific Management LLC
-
- Skilled Nursing Facility
- Florence, OR
- NPI 1841238425
Regency Pacific Management LLC
-
dba Regency Gresham Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Gresham, OR
- NPI 1790909786
Regency Pacific Management LLC
-
- Skilled Nursing Facility
- Hermiston, OR
- NPI 1831306380
Regency Pacific Management LLC
-
dba Regency at the Park
- Skilled Nursing Facility
- College Place, WA
- NPI 1356383202
Regency Pacific Management LLC
-
dba Regency Care Center at Monroe
- Skilled Nursing Facility
- Monroe, WA
- NPI 1043257421
Regency Pacific Management LLC
-
dba Olympia Manor
- Skilled Nursing Facility
- Olympia, WA
- NPI 1093813214
Regency Pacific Management LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454976000000",
"number": "1235342353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 160TH AVE SE",
"address_2": "SUITE 120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980086418",
"telephone_number": "425-392-4066",
"fax_number": "425-623-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 19TH AVE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973224225",
"telephone_number": "541-926-4741",
"fax_number": "541-926-6912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENCY ALBANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2016-02-09",
"status": "A",
"authorized_official_last_name": "BEDDOE",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "425-392-4066",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": "1270530342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800097",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REGENCY ALBANY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.