Bend Villa Retirement

LBN: Bend Villa Retirement, Llc
Bend Villa Retirement is an health care organization with primary practice located at 1801 Ne Lotus Dr , Bend OR 97701-6174. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bend Villa Retirement, Llc can be contacted via phone (541) 389-0046, or through Moss, Elizabeth Marie via phone (503) 588-2725.

Contact Information

Primary practice address
1801 Ne Lotus Dr Bend OR 97701-6174
Fax: (541) 382-1239
Website:
Authorized official contact:
Name: Moss, Elizabeth Marie

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1989448188 Oregon

Profile Details

NPI number 1295996338
LBN Legal business name Bend Villa Retirement, Llc
DBA Doing business as Bend Villa Retirement
Authorized official Moss, Elizabeth Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Jun 20th, 2008 - about 16 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 1295996338 NPPES
Oregon MEDICAID 518082

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