BD Sunnyside I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BD SUNNYSIDE I, LLC

Practice address

907 Ida Belle St
Sunnyside, WA 98944-9062

Phone

(509) 839-0579

NPI assigned

Nov 2, 2007

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

• SUN TERRACE RETIREMENT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Lou Pine, PA-C

  • Physician Assistant
  • Sunnyside, WA
  • NPI 1649388588
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1992984207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 IDA BELLE ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449062",
            "telephone_number": "509-839-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 IDA BELLE ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449062",
            "telephone_number": "509-839-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD SUNNYSIDE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2010-04-20",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596417",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN TERRACE RETIREMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dave S Atteberry, MD
• B Martin and G Martin PLLC
• Flor Irene Barajas
• William Jesse Barker, CRNA
• Barnes Brothers Inc
• Mildred J. Beard
• Preston Beitel, DMD
• Alan Keith Berger, MD
• Brent Lyman Bingham, D.O.
• Jeffrey Heath Blunden, O.D.

• All providers in Sunnyside, WA
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.