Bd Bend III LLC
Bd Bend III LLC is a healthcare organization registered as Skilled Nursing Facility in Bend, OR, holding Type 2 (organization) NPI 1558580993 since 2007. The authorized official on file is Doug Devore, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558580993 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bd Bend III LLC |
| Other name | <Unavail> |
| Practice address | 119 SE WILSON AVE, Bend, OR, 97702 |
| Phone | 5413827161 |
| Enumeration date | 2007-04-24 |
| Last updated in NPPES | 2010-05-25 |
Authorized official
| Name | Doug Devore |
|---|---|
| Title | Cfo |
| Phone | 4253924066 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800084 | Medicaid | OR | — |
| 500620741 | Medicaid | OR | — |
Copy-ready billing details
Provider: Bd Bend III LLC NPI: 1558580993 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 119 SE WILSON AVE, Bend, OR, 97702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396768719 | Kelly Roberts | Individual | Audiologist | Bend, OR |
| 1295983708 | Kristen Griffin | Individual | Occupational Therapist | Bend, OR |
| 1114362852 | William Cottrell | Individual | Physical Therapist | Bend, OR |
Verify this record
Cross-check NPI 1558580993 against the authoritative CMS record: view Bd Bend III LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Bd Bend III LLC?
What is the NPI number for Bd Bend III LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-05-25.