BFG Spokane Propco IV, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BFG SPOKANE PROPCO IV, LLC

Practice address

4503 S Freya St
Spokane, WA 99223-7135

Phone

(509) 904-1245

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Faye Gordon

Title

Director of Compliance MGR

Phone

(509) 426-2756

Specialties & licenses 1

Addresses

Other names 1

• FIELDSTONE MEMORY CARE OF SPOKANE Doing business as

Locations

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1902494610",
    "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",
            "fax_number": "509-426-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 S FREYA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237135",
            "telephone_number": "509-904-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFG SPOKANE PROPCO IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE MGR",
        "authorized_official_telephone_number": "509-426-2756"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIELDSTONE MEMORY CARE OF SPOKANE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Spokane, WA
• Providers in Spokane, 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 7, 2021; 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.