CSL - Eugene I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL - EUGENE I, LLC

Doing business as

Evergreen Memory Care

Practice address

3720 N Clarey St
Eugene, OR 97402-8744

Phone

(541) 687-9390

Fax

(541) 689-5622

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 Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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": "1679116313",
    "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": "541-636-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N CLAREY ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028744",
            "telephone_number": "541-687-9390",
            "fax_number": "541-689-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL - EUGENE 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": "Evergreen Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerryko R. Jake Cruz, LMFT INTERN
• Ma. Brina Ida Adriatico Cruz
• David Clyde Crymes, MA
• Zoe Cryns, M.A.
• Sara Cristina Csaky
• CSL - Eugene II, LLC (Evergreen Senior Living)
• Lauren Anne Cuda, DDS
• Rachel Cudmore, MA, LPC
• Sonia Cuellar-Cobb
• Maria Elena Cuellar, M.ED. COUNSELING

• 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.
• 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.

Verify at the official NPI Registry.