Fox Hollow Bend, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOX HOLLOW BEND, LLC

Practice address

2599 NE Studio Rd
Bend, OR 97701-9878

Phone

(541) 383-2030

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Doug Devore

Title

Cfo

Phone

(425) 392-4066

Specialties & licenses 1

Addresses

Other names 1

• FOX HOLLOW Doing business as

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1851570170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 NE STUDIO RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019878",
            "telephone_number": "541-383-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2599 NE STUDIO RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019878",
            "telephone_number": "541-383-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX HOLLOW BEND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOX HOLLOW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Lynn Fourier, BS
• Fourth Dimension Corp
• Karen Fowler
• Kelli Rene Fowles, DMD
• Taylor Fowles, DMD
• Alicia M Fox
• Allison Marie Fox
• Briana Fox, MS, LPC, CADC III
• David Lewis Fox
• Gwyneth Love Foxhoven

• 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 Apr 13, 2010; 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.