Fm Grande, Llc

LBN: Fm Grande, Llc
Fm Grande, Llc is an health care organization with primary practice located at 1809 Gekeler Ln , La Grande OR 97850-3375. 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. Fm Grande, Llc can be contacted via phone (541) 963-4700, or through Roderick, Gregory via phone (503) 443-1818.

Contact Information

Primary practice address
1809 Gekeler Ln La Grande OR 97850-3375
Phone: (541) 963-4700
Fax: (541) 963-6519
Website:
Map and Directions
Authorized official contact:
Name: Roderick, Gregory
Phone: (503) 443-1818

Health care specialties

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

Profile Details

NPI number 1558987230
LBN Legal business name Fm Grande, Llc
DBA Doing business as
Authorized official Roderick, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2020
Last updated Jun 18th, 2020 - about 4 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 1558987230 NPPES
Oregon MEDICAID 524352

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