Regency At The Park
LBN: Bd College Place I, Llc
Regency At The Park is an health care organization with primary practice located at 420 Se Myra Rd , College Place WA 99324-1796. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Bd College Place I, Llc can be contacted via phone (509) 529-4480, or through Devore, Doug via phone (425) 392-4066.
Contact Information
Primary practice address
420 Se Myra Rd
College Place WA 99324-1796
Phone: (509) 529-4480
Fax: (509) 529-8776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1356383202 |
|---|---|
| LBN Legal business name | Bd College Place I, Llc |
| DBA Doing business as | Regency At The Park |
| Authorized official | Devore, Doug |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 22nd, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356383202 | NPPES |
| Washington | MEDICAID | 4114336 | |
| Washington | MEDICAID | 4112850 |
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