FM Aspen Ret, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FM ASPEN RET, LLC

Doing business as

Aspen Ridge Retirement Community

Practice address

1010 NE Purcell Blvd
Bend, OR 97701-5113

Phone

(541) 385-8500

Fax

(541) 330-6687

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Gregory A Roderick

Title

Member

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aspen Ridge Retirement Community 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

Locations

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1811513559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906",
            "fax_number": "503-443-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NE PURCELL BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015113",
            "telephone_number": "541-385-8500",
            "fax_number": "541-330-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM ASPEN RET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524333",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Ridge Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Flow Wellness Behavioral Health (Flow Wellness)
• Flow Wellness LLC
• Shannon Bird Flowerday
• Kelly Leigh Flynn, MS, LPCA
• FM Aspen MC, LLC (Aspen Ridge Memory Care)
• Focus Physical Therapy, Inc.
• Daniel E Fohrman, M.D.
• Adam Foley
• Devin Foley
• Janet Sue Foliano, PSYD

• Assisted Living Facility in Bend, OR
• Providers in Bend, 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 Jun 18, 2020; 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.