BD COLLEGE PLACE I, LLC (NPI# 1356383202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356383202 |
| Entity Type | Organization |
| Organization Name | BD COLLEGE PLACE I, LLC |
| Other Organization Name | REGENCY AT THE PARK |
| Practice Address |
420 Se Myra Rd College Place WA 99324-1796 |
| Mailing Address |
3326 160th Ave Se Suite 120 Bellevue WA 98008-6418 |
| Practice Telephone | 5095294480 |
| Practice Fax Number | 5095298776 |
| Mailing Telephone | 4253924066 |
| Mailing Fax Number | 4256231517 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | DOUG DEVORE (CFO) |
| Authorized Official Telephone | 4253924066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4112850 | 05 | |
| WA | 4114336 | 05 |
| Other Name | Type Code |
|---|---|
| Regency at the Park | Doing Business As Name - Organization |
| Street Address |
420 SE MYRA RD |
| City | COLLEGE PLACE |
| State | WA |
| Zip Code | 99324-1796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514046 | Laurel Hill Enterprises | Skilled Nursing Facility | 420 Se Myra Rd, College Place, WA 99324-1796 | 2005-10-31 |
| 1366909517 | Rebekah Muir | Physical Therapy Assistant | 420 Se Myra Rd, College Place, WA 99324-1796 | 2019-02-25 |
| 1144633942 | Tai Harmon | Physical Therapist | 420 Se Myra Rd, College Place, WA 99324-1796 | 2014-06-09 |
| 1841530011 | Erin Margaret Hawkins | Speech-Language Pathologist | 420 Se Myra Rd, College Place, WA 99324-1796 | 2013-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1477051415 | Carrie Jean White | Counselor | 56 N College Ave #2a, College Place, WA 99324 | 2018-01-24 |
| 1952824658 | Ashley Bergmann | Social Worker | 1928 George Washington Way, Apt L1, Richland, WA 99324 | 2017-07-25 |
| 1376081224 | Ariel Anderson | Registered Nurse | 1755 College Ave, College Place, WA 99324 | 2017-02-10 |
| 1770926644 | Richard Kearns | Registered Nurse | 800 Se Sentry Dr, College Place, WA 99324 | 2013-04-10 |
| 1619259009 | Debra Jean Maxted | Physical Therapy Assistant | 420 Se Myra Road, College Place, WA 99324 | 2011-09-13 |
| 1740470533 | Danny R. Croft | Denturist | 1298 Se 12th Street, College Place, WA 99324 | 2007-07-27 |
| 1316059983 | Mary Ellen Hustead | Social Worker | 325 Sprucewood Place, College Place, WA 99324 | 2006-08-31 |
| 1639158264 | Elizabeth Ann Wall | Nurse Practitioner | 722 South College Avenue, College Place, WA 99324 | 2006-01-12 |
| 1013494640 | Amber Hopkins | Case Manager/Care Coordinator | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-07-26 |
| Find all providers in zip 99324 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514046 | Laurel Hill Enterprises | Skilled Nursing Facility | 420 Se Myra Rd, College Place, WA 99324-1796 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1457840795 | Mission Healthcare At Renton, LLC | Skilled Nursing Facility | 17420 106th Pl Se, Renton, WA 98055-5438 | 2018-05-02 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1235662081 | Alexandra Vick | Skilled Nursing Facility | 18621 29th Ave E, Tacoma, WA 98445-4323 | 2017-04-08 |
| 1255883831 | Heron's Key | Skilled Nursing Facility | 4340 Borgen Blvd, Gig Harbor, WA 98332-7000 | 2016-10-28 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PLACE |
| Zip Code | 99324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.