FM OCEAN RIDGE, LLC
NPI 1053937680
Assisted Living Facility in Coos Bay, OR

Q: What is Fm Ocean Ridge, LLC's NPI number?

The NPI number for Fm Ocean Ridge, LLC is 1053937680. It was assigned to this organization in the NPPES registry on June 19, 2020. The provider is doing business as Ocean Ridge Assisted Living.

Q: What is Fm Ocean Ridge, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since June 19, 2020

1855 OCEAN BLVD SE, COOS BAY, OR 97420(541) 267-4000(541) 267-4411 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fm Ocean Ridge, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FM OCEAN RIDGE, LLC (NPI 1053937680), doing business as Ocean Ridge Assisted Living, is a healthcare organization registered as an assisted living facility in Coos Bay, Oregon and active in the NPI registry since June 2020. The organization lists Gregory Roderick, Member, as its authorized official.

NPPES Registry Identity

NPI1053937680

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFM OCEAN RIDGE, LLC

Location Address1855 OCEAN BLVD SECoos Bay, OR 97420-1940

Mailing Address7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790 · (503) 597-4906

Phone(541) 267-4000

Fax(541) 267-4411

Organization SubpartNo

Authorized OfficialGregory RoderickMember · (503) 443-1818

Enumeration DateJune 19, 2020

NPPES CertifiedJune 19, 2020

✔ NPI 1053937680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

1855 OCEAN BLVD SE, Coos Bay, OR 97420

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Other Names 1

Doing Business AsOcean Ridge Assisted Living

Other Identifiers 1

Medicaid524685OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fm Ocean Ridge, LLC's NPI number?

The NPI number for Fm Ocean Ridge, LLC is 1053937680. It was assigned to this organization in the NPPES registry on June 19, 2020. The provider is doing business as Ocean Ridge Assisted Living.

Where is Fm Ocean Ridge, LLC located?

Fm Ocean Ridge, LLC is located at 1855 Ocean Blvd SE, Coos Bay, OR 97420. The listed phone number is (541) 267-4000.

What is Fm Ocean Ridge, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fm Ocean Ridge, LLC was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.