Regency at Salem, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1848273693 Issued in OR

Legal business name

REGENCY AT SALEM, LLC

Practice address

4710 Sunnyside Rd SE
Salem, OR 97302-3504

Phone

(503) 364-1355

NPI assigned

Apr 23, 2009

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 identifiers 1

Other names 1

• Regency Woodland Doing business as

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1902040769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023504",
            "telephone_number": "503-364-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023504",
            "telephone_number": "503-364-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY AT SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "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": "OR",
            "license": "1848273693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1848273693",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Woodland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Nicole Reedy, LMT
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• Carolina Regalado Murillo, MPH
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• Wendy Noel Rehfeld, MOTR/L
• Abraham Joel Reichlin, LCSW
• Kay M Reichlin, MD
• Scott Mitchell Reichlin, MD

• Assisted Living Facility in Salem, OR
• Providers in Salem, 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 23, 2009; 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.