Crown Two Development, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CROWN TWO DEVELOPMENT, LLC

Practice address

155 S Evergreen Rd
Woodburn, OR 97071-2974

Phone

(503) 982-2221

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Kira Bellis

Title

Regional Business Office Manager

Phone

(541) 610-5847

Specialties & licenses 1

Addresses

Other names 1

• Country Meadows Village 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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1962028332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20058 BETH AVE UNIT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023067",
            "telephone_number": "541-610-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S EVERGREEN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712974",
            "telephone_number": "503-982-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN TWO DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "BELLIS",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "REGIONAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "541-610-5847"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Meadows Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Woodburn, OR
• Providers in Woodburn, 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 Jun 22, 2020; 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.