Regency Auburn, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1195 Issued in WA

Legal business name

REGENCY AUBURN, LLC

Practice address

414 17TH St SE
Auburn, WA 98002-6822

Phone

(253) 833-1740

Fax

(253) 833-2050

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

M. Bart Beddoe

Title

Managing Member

Phone

(425) 392-4066

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Regency Auburn Doing business as

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1881796258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 17TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026822",
            "telephone_number": "253-833-1740",
            "fax_number": "253-833-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 17TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026822",
            "telephone_number": "253-833-1740",
            "fax_number": "253-833-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY AUBURN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "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": "WA",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Auburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saritha A Reddy, MD
• Laurie Carol Redelf
• Karri Leanne Reece
• Taylor Joyce Reed, LMP
• R Graham Graham Reedy, MD
• Christina Reilly
• Benjamin Reiss, M.D.
• Reliable Healthcare Services LLP
• Simone Marcella Relyea
• Remnant Management, LLC

• Skilled Nursing Facility in Auburn, WA
• Providers in Auburn, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.