Active NPI
BD Spokane I, LLC
- Skilled Nursing Facility
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH1432
- Legal business name
- BD SPOKANE I, LLC
- Practice address
- 1224 E Westview CT
Spokane, WA 99218-3813 - Phone
- (509) 465-8800
- Fax
- (509) 444-2330
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH1432 | WA | Primary |
Addresses
Primary practice location
1224 E Westview CT
Spokane, WA 99218-3813
Mailing address
3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4112355 | Medicaid | WA | |
| 4114328 | Medicaid | WA |
Other names 1
- Regency at Northpointe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090528000489 | WA | Part A Provider - Skilled Nursing Facility | 9830248566 | Practice locations: Spokane, WA |
Skilled nursing facility certification: CCN 505369
- Legal name
- BD SPOKANE I LLC
- Doing business as
- REGENCY AT NORTHPOINTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1990
- Last certification
- Aug 27, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Northern Health Care
- Most recent change of ownership
- Apr 1, 2010
- Organization structure
- LLC
- Incorporated
- Feb 23, 2009 in WA
- Enrollment address
- 1224 E Westview CT
Spokane, WA 99218-3813 - Nursing home name
- REGENCY AT NORTHPOINTE
- Affiliated entity
- REGENCY PACIFIC MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Regency at Northpointe
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 1990
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Regency Pacific Management
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- BD Spokane I LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Medicine Clinic/Center
- Spokane, WA
- NPI 1841622172
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marvin B Beddoe | 5% Or Greater Direct Ownership Interest | Apr 1, 2010 | 99% |
| Operational/Managerial Control | Apr 1, 2010 | 99% | |
| Tod Dunfield | Operational/Managerial Control | Apr 15, 2013 | 100% |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1659458404
-
- Rheumatology Physician
- Covington, WA
- NPI 1730158478
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1336358761
-
- Family Medicine Physician
- Spokane, WA
- NPI 1962663898
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": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431648000000",
"number": "1669419271",
"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": "1224 E WESTVIEW CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992183813",
"telephone_number": "509-465-8800",
"fax_number": "509-444-2330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BD SPOKANE I, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2015-05-15",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "NH1432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4112355",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4114328",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regency at Northpointe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.