NPIMap

Organization Active NPI

BD Grants Pass I LLC

Doing business as Regency Care of Rogue Valley

  • Skilled Nursing Facility
  • Grants Pass, OR
National Provider Identifier
1386863769
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1648427843 Issued in OR
Legal business name
BD GRANTS PASS I LLC
Doing business as
Regency Care of Rogue Valley
Practice address
1710 NE Fairview Ave
Grants Pass, OR 97526-3877
Phone
(541) 479-2606
Fax
(541) 471-0611
NPI assigned
Apr 24, 2007
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1648427843 OR Primary

Addresses

Primary practice location

1710 NE Fairview Ave
Grants Pass, OR 97526-3877

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
800982MedicaidOR
500620696MedicaidOR

Other names 1

  • Regency Care of Rogue Valley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090529000014 OR Part A Provider - Skilled Nursing Facility 0648329300 Practice locations: Grants Pass, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386863769. Details of each certification follow.

Skilled nursing facility certification: CCN 385064

Legal name
BD GRANTS PASS I LLC
Doing business as
REGENCY CARE OF ROGUE VALLEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1968
Last certification
Nov 21, 2024
Beds
102
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Feb 20, 2009 in WA
Enrollment address
1710 NE Fairview Ave
Grants Pass, OR 97526-3877
Nursing home name
REGENCY CARE OF ROGUE VALLEY
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency Care of Rogue ValleyCCN 385064 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10244.6 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
38D0923712Regency Care of Rogue Valley1710 NE Fairview Avenue, Grants Pass, OR 97526Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Regency Pacific Management LLC Organization, Bellevue, WA LLC, Management services company, For-profit Operational/Managerial Control Apr 1, 2010 100%
BD Facilities LLC Organization, Bellevue, WA LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2010 100%
Marvin B Beddoe Individual 5% Or Greater Indirect Ownership Interest Apr 2, 2010 98.5%
Operational/Managerial ControlCeo Apr 1, 2010 66.66%

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1386863769",
    "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": "1710 NE FAIRVIEW AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263877",
            "telephone_number": "541-479-2606",
            "fax_number": "541-471-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD GRANTS PASS I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "1648427843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800982",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500620696",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Care of Rogue Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.