CSL - Eugene II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL - EUGENE II, LLC

Doing business as

Evergreen Senior Living

Practice address

3760 N Clarey St
Eugene, OR 97402-8744

Phone

(541) 607-9525

Fax

(541) 607-5589

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

• Evergreen 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": "1568005213",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 N CLAREY ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028744",
            "telephone_number": "541-607-9525",
            "fax_number": "541-607-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL - EUGENE II, 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": "Evergreen Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ma. Brina Ida Adriatico Cruz
• David Clyde Crymes, MA
• Zoe Cryns, M.A.
• Sara Cristina Csaky
• CSL - Eugene I, LLC (Evergreen Memory Care)
• Lauren Anne Cuda, DDS
• Rachel Cudmore, MA, LPC
• Sonia Cuellar-Cobb
• Maria Elena Cuellar, M.ED. COUNSELING
• Vikki Anne Cuellar, B.S.

• Assisted Living Facility in Eugene, OR
• Providers in Eugene, OR by specialty
• 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.