FM OCEAN CREST, LLC
NPI 1124644877
Assisted Living Facility in Coos Bay, OR

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

The NPI number for Fm Ocean Crest, LLC is 1124644877. It was assigned to this organization in the NPPES registry on June 18, 2020. The provider is doing business as Bayside Terrace Assisted Living and Memory Care.

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

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

Active since June 18, 2020

192 NORMAN AVE, COOS BAY, OR 97420(541) 888-2255(541) 888-5908 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fm Ocean Crest, Llc NPPES

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

FM OCEAN CREST, LLC (NPI 1124644877), doing business as Bayside Terrace Assisted Living And Memory Care, 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 A Roderick, Member, as its authorized official.

NPPES Registry Identity

NPI1124644877

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFM OCEAN CREST, LLC

Location Address192 NORMAN AVECoos Bay, OR 97420-4741

Mailing Address7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790 · (503) 597-4906 · Fax (503) 443-1818

Phone(541) 888-2255

Fax(541) 888-5908

Organization SubpartNo

Authorized OfficialGregory A RoderickMember · (503) 443-1818

Enumeration DateJune 18, 2020

NPPES CertifiedJune 18, 2020

✔ NPI 1124644877 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.

192 NORMAN AVE, Coos Bay, OR 97420

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Other Names 1

Doing Business AsBayside Terrace Assisted Living And Memory Care

Other Identifiers 2

Medicaid526904OR

Medicaid526920OR

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 Crest, LLC's NPI number?

The NPI number for Fm Ocean Crest, LLC is 1124644877. It was assigned to this organization in the NPPES registry on June 18, 2020. The provider is doing business as Bayside Terrace Assisted Living and Memory Care.

Where is Fm Ocean Crest, LLC located?

Fm Ocean Crest, LLC is located at 192 Norman Ave, Coos Bay, OR 97420. The listed phone number is (541) 888-2255.

What is Fm Ocean Crest, 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 Crest, LLC was last updated on June 18, 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.