Active NPI
Boone Road Senior Living LLC
- Assisted Living Facility
- Salem, OR
National Provider Identifier
1699623934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BOONE ROAD SENIOR LIVING LLC
- Practice address
- 2950 Boone Rd SE
Salem, OR 97306-9399 - Phone
- (971) 287-6016
- Fax
- (971) 443-5157
- NPI assigned
- Mar 20, 2026
- 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
- Katy Bishop, BISHOP
- Title
- Equity and Debt Relationship Manage
- Phone
- (503) 391-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2950 Boone Rd SE
Salem, OR 97306-9399
Mailing address
650 Hawthorne Ave SE Ste 210
Salem, OR 97301-5895
Phone (503) 391-9999
National Provider Directory
National Provider DirectoryLocations
2950 Boone Rd SE
Salem, OR 97306
Phone (971) 287-6016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1699623934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HAWTHORNE AVE SE STE 210",
"city": "SALEM",
"state": "OR",
"postal_code": "973015895",
"telephone_number": "503-391-9999",
"fax_number": "971-443-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 BOONE RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973069399",
"telephone_number": "971-287-6016",
"fax_number": "971-443-5157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOONE ROAD SENIOR LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-20",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "BISHOP",
"authorized_official_first_name": "KATY",
"authorized_official_title_or_position": "EQUITY AND DEBT RELATIONSHIP MANAGE",
"authorized_official_telephone_number": "503-391-9999",
"authorized_official_credential": "BISHOP"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.