BD Bend I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1611167549 Issued in OR

Legal business name

BD BEND I, LLC

Doing business as

The Summit Assisted Living

Practice address

127 SE Wilson Ave
Bend, OR 97702

Phone

(541) 317-3544

Fax

(541) 330-0121

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Doug Devore

Title

Cfo

Phone

(425) 392-4066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Summit Assisted Living Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devon Noelle Varner, RN

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1306628755
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1639382740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SE WILSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-317-3544",
            "fax_number": "541-330-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SE WILSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-317-3544",
            "fax_number": "541-330-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD BEND I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-04-20",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "1611167549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513761",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Summit Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Sue Baumann, RD
• Katherine A Baumann, MD
• Carrie Baxter, PA
• Grace Bays
• Summer Baz, MASSAGE THERAPIST
• BD Bend II LLC
• BD Bend III LLC
• BDG Dental LLC
• BDGR Surgical Assisting
• Terri J Beachler

• Assisted Living Facility in Bend, OR
• Providers in Bend, 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 Apr 20, 2010; 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.