Organization Active NPI

RSL Salem, LLC

  • Assisted Living Facility
  • Salem, OR
National Provider Identifier
1780200501
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RSL SALEM, LLC
Doing business as
FARMINGTON SQUARE SALEM
Practice address
960 Boone Rd SE
Salem, OR 97306-1527
Phone
(503) 363-2273
Fax
(503) 363-4991
NPI assigned
Jun 17, 2020
Organization subpart
Yes
Parent organization
RADIANT COMPANIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
James Guffee
Title
President of Manager
Phone
(503) 595-2810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

960 Boone Rd SE
Salem, OR 97306-1527

Mailing address

10220 SW Greenburg Rd Ste 201
Portland, OR 97223-5505
Phone (503) 595-2810

Other identifiers 3

IdentifierTypeStateIssuer
522962MedicaidOR
1206142663OtherORRESIDENTIAL CARE FACILITY LICENSE
522963MedicaidOR

Other names 1

  • FARMINGTON SQUARE SALEM Doing business as

National Provider Directory

National Provider Directory

Locations

960 Boone Rd SE
Salem, OR 97306
Phone (503) 363-2273

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1780200501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235505",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BOONE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061527",
            "telephone_number": "503-363-2273",
            "fax_number": "503-363-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL SALEM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANT COMPANIES, INC.",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522962",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY LICENSE",
            "identifier": "1206142663",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522963",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMINGTON SQUARE SALEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2020; 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.