CSL - Monmouth I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL - MONMOUTH I, LLC

Practice address

504 Gwinn St E
Monmouth, OR 97361-1571

Phone

(503) 838-6850

Fax

(503) 838-6443

NPI assigned

Oct 25, 2019

Organization subpart

Yes

Parent organization

COMPASS SENIOR LIVING LLCAs reported in NPPES

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

Authorized official

Name

Will Forsyth

Title

Vice President

Phone

(541) 636-3460

Specialties & licenses 1

Addresses

Other names 1

• Heron Pointe Senior Living Doing business as

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1407499155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 10TH AVE STE 104",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013273",
            "telephone_number": "541-636-3460",
            "fax_number": "541-636-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GWINN ST E",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611571",
            "telephone_number": "503-838-6850",
            "fax_number": "503-838-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL - MONMOUTH I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS SENIOR LIVING LLC",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "541-636-3460"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heron Pointe Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sylvia E Cervantes Garcia
• Christopher D. Johnson OD, PC
• Cameron Michael Collier
• Jonah Thomas Cooper-Leavitt, D.M.D.
• Benjamin Gordon Coulam, DNP
• Emeritus Corporation
• Elli Rose Garbarino
• Ian J Gilkison, DPT
• Alexandra Mae Gloor, FNP
• Marcos Jeffrey Godman

• All providers in Monmouth, OR
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.