NPIMap

Organization Active NPI

Regency Florence LLC

  • Skilled Nursing Facility
  • Florence, OR
National Provider Identifier
1841238425
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REGENCY FLORENCE LLC
Practice address
1951 E 21St Street
Florence, OR 97439-9771
Phone
(541) 997-8436
Fax
(541) 997-4407
NPI assigned
Jun 3, 2006
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Marvin B Beddoe
Title
Ceo
Phone
(425) 392-4066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1951 E 21St Street
Florence, OR 97439-9771

Mailing address

3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066

Other identifiers 1

IdentifierTypeStateIssuer
800096MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000178 OR Part A Provider - Skilled Nursing Facility 0143244368 Practice locations: Florence, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841238425. Details of each certification follow.

Skilled nursing facility certification: CCN 385142

Legal name
REGENCY FLORENCE, LLC
Doing business as
REGENCY FLORENCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1979
Last certification
Dec 6, 2024
Beds
72
Ownership / control type
Corporation
Multi-facility organization
Regency Pacific Management
Organization structure
LLCProprietary
Incorporated
Sep 16, 2005 in WA
Enrollment address
1951 E 21St St
Florence, OR 97439-9771
Nursing home name
REGENCY FLORENCE
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Regency FlorenceCCN 385142 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7243.0 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain
Penalties (3 years)
1Fines totaling $7,443

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0721754Regency Florence1951 E 21St Street, Florence, OR 97439Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

1951 21st St
Florence, OR 97439
Phone (541) 997-8436

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrew Rapp Individual Operational/Managerial Control Mar 8, 2016
Adp of the SNF Mar 8, 2016
Stephen S Kerner Individual Operational/Managerial Control Jan 1, 2005
Adp of the SNF Jan 1, 2005
Omnicare LLC Organization, Woonsocket, RI LLC, Medical provider/supplier Adp of the SNF Sep 1, 2013
Regency Pacific Management LLC Organization, Bellevue, WA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Apr 1, 2010 100%
Adp of the SNF Aug 26, 2025
CBL Properties II LLC Organization, Bellevue, WA LLC, For-profit Adp of the SNF Dec 27, 2005
Peacehealth Organization, Florence, OR Medical provider/supplier Operational/Managerial Control Jan 1, 2005
Adp of the SNF Aug 19, 2025
James Lee Clay Individual 5% Or Greater Direct Ownership Interest Dec 27, 2005 40%
Adp of the SNF Feb 16, 2006
Organization, Portland, OR Corporation, Consulting firm Adp of the SNF Jul 8, 2025
Organization, Portland, OR LLC, Consulting firm Adp of the SNF Jul 8, 2025
Marvin B Beddoe Individual 5% Or Greater Direct Ownership Interest Feb 16, 2006 40%
Operational/Managerial ControlCeo Feb 16, 2006 100%
Adp of the SNF Feb 16, 2006
Paige a Ryan Individual Operational/Managerial Control Aug 16, 2022
Adp of the SNF Aug 16, 2022
Timothy H Lehner Individual 5% Or Greater Direct Ownership Interest Feb 16, 2006 20%
Adp of the SNF Feb 16, 2006

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Stephen Samuel Kerner, D.O.
    • Family Medicine Physician
    • Florence, OR
    • NPI 1073690434

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Peacehealth

    dba Peace Harbor Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Florence, OR
    • NPI 1356459606

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Peacehealth

    dba Peace Harbor Medical Center

    • Critical Access Hospital
    • Florence, OR
    • NPI 1578552402

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Peacehealth

    dba Peace Harbor Medical Center

    • Multi-Specialty Clinic/Center
    • Florence, OR
    • NPI 1982774378

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1841238425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066",
            "fax_number": "425-623-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 E 21ST STREET",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399771",
            "telephone_number": "541-997-8436",
            "fax_number": "541-997-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY FLORENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-392-4066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.