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:
Map and Directions
Authorized official contact:
Name: Devore, Doug
Phone: (425) 392-4066

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356383202 NPPES
Washington MEDICAID 4114336
Washington MEDICAID 4112850

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