Organization Active NPI

Boone Road Senior Living LLC

  • Assisted Living Facility
  • Salem, OR
National Provider Identifier
1699623934
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Mar 20, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.