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BFG KENNEWICK MASTER TENANT LLC NPI 1174027114


NPI Information

NPI: 1174027114
Provider Name: BFG KENNEWICK MASTER TENANT, LLC

Doing Business As: FIELDSTONE MEMORY CARE OF KENNEWICK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 50D2097082

Address:
575 N YOUNG ST
KENNEWICK, WA
ZIP 99336
Phone: (509) 491-3945
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BFG KENNEWICK MASTER TENANT, LLC is an assisted living facility in Kennewick, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BFG KENNEWICK MASTER TENANT, LLC NPI is 1174027114. The provider is registered as an organization entity type.
The provider Is Doing Business As Fieldstone Memory Care Of Kennewick.

The provider's business location address is:

575 N YOUNG ST
KENNEWICK, WA
ZIP 99336-806
Phone: (509) 491-3945
Fax: (509) 491-3948

The provider's authorized official is Robert A Bourne .
The authorized official title is Indirect Manager and has the following contact phone number (407) 644-6444.

The CLIA number assigned to this NPI record is 50D2097082 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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