BFG Wenatchee Propco IV, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BFG WENATCHEE PROPCO IV, LLC

Doing business as

Fieldstone Memory Care of Wenatchee

Practice address

817 Red Apple Rd
Wenatchee, WA 98801

Phone

(509) 884-3178

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faye Gordon, DO

Title

Manager Director of Compliance

Phone

(509) 426-2756

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fieldstone Memory Care of Wenatchee 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

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1871067843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N 40TH AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989084330",
            "telephone_number": "509-426-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 RED APPLE RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-884-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFG WENATCHEE PROPCO IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "MANAGER DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "509-426-2756",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fieldstone Memory Care of Wenatchee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christina Ann Bias, BA, CDP
• Scott J Bibbens, DMD
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• Assisted Living Facility in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.