NPIMap

Organization Active NPI

BD College Place I, LLC

Doing business as Regency at the Park

  • Skilled Nursing Facility
  • College Place, WA
National Provider Identifier
1356383202
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BD COLLEGE PLACE I, LLC
Doing business as
Regency at the Park
Practice address
420 SE Myra Rd
College Place, WA 99324-1796
Phone
(509) 529-4480
Fax
(509) 529-8776
NPI assigned
Jun 12, 2006
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Doug Devore
Title
Cfo
Phone
(425) 392-4066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

420 SE Myra Rd
College Place, WA 99324-1796

Mailing address

3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066

Other identifiers 2

IdentifierTypeStateIssuer
4114336MedicaidWA
4112850MedicaidWA

Other names 1

  • Regency at the Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090527000212 WA Part A Provider - Skilled Nursing Facility 9830248665 Practice locations: College Place, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356383202. Details of each certification follow.

Skilled nursing facility certification: CCN 505075

Legal name
BD COLLEGE PLACE I LLC
Doing business as
REGENCY AT THE PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1974
Last certification
Mar 4, 2025
Beds
106
Ownership / control type
Corporation
Multi-facility organization
Regency Pacific Management
Organization structure
LLCProprietary
Enrollment address
1440 SE Garrison Village Way
College Place, WA 99324-5509
Nursing home name
REGENCY AT THE PARK
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency at the ParkCCN 505075 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10676.9 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain
Penalties (3 years)
3Fines totaling $148,838

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1440 SE Garrison Village Way
College Place, WA 99324
Phone (509) 529-4480

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrew Rapp Individual Operational/Managerial Control Mar 8, 2016
Adp of the SNF Mar 8, 2016
Omnicare LLC Organization, Woonsocket, RI LLC, Medical provider/supplier Adp of the SNF Sep 1, 2013
Regency Pacific Management LLC Organization, Bellevue, WA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Apr 1, 2010 100%
Adp of the SNF Apr 1, 2010
Organization, Portland, OR Corporation, Consulting firm Adp of the SNF Jul 8, 2025
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jan 1, 2004
BD College Place Properties LLC Organization, Bellevue, WA LLC, For-profit Adp of the SNF Apr 1, 2010
Steven Hughes Individual Operational/Managerial Control May 17, 2024
Adp of the SNF May 17, 2024
Sandra Beddoe Individual Adp of the SNF May 1, 2017
Indirect Ownership Interest May 1, 2017 1.5%
Marvin B Beddoe Individual 5% Or Greater Direct Ownership InterestCeo Apr 1, 2010 98.5%
Operational/Managerial Control Apr 1, 2010
Adp of the SNF Apr 1, 2010
Christopher K Jenkins Individual Operational/Managerial Control Nov 1, 2022
Adp of the SNF Nov 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1356383202",
    "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": "420 SE MYRA RD",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241796",
            "telephone_number": "509-529-4480",
            "fax_number": "509-529-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD COLLEGE PLACE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114336",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112850",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency at the Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Place, WA

Sources for this page

Verify at the official NPI Registry.