1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Assisted Living Facility
  6. NPI Profile

FM CEDAR VILLAGE, LLC
NPI 1720604499
Assisted Living Facility in Salem, OR

Active since June 18, 2020
4452 LANCASTER DR NE, SALEM, OR 97305(503) 390-9600(503) 390-9152 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fm Cedar Village, Llc NPPES

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

FM CEDAR VILLAGE, LLC (NPI 1720604499), doing business as Cedar Village Assisted Living & Memory Care, is a healthcare organization registered as an assisted living facility in Salem, Oregon and active in the NPI registry since June 2020. The organization lists Gregory A Roderick, Member, as its authorized official.

NPPES Registry Identity

NPI1720604499
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFM CEDAR VILLAGE, LLC
Location Address4452 LANCASTER DR NESalem, OR 97305-1697
Mailing Address7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790 · (503) 597-4906 · Fax (503) 443-1919
Phone(503) 390-9600
Fax(503) 390-9152
Organization SubpartNo
Authorized OfficialGregory A RoderickMember · (503) 443-1818
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1720604499 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.
4452 LANCASTER DR NE, Salem, OR 97305
Open in Google Maps ↗

Other Names 1

Doing Business AsCedar Village Assisted Living & Memory Care

Other Identifiers 2

Medicaid526907OR
Medicaid526908OR

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 Cedar Village, LLC's NPI number?

The NPI number for Fm Cedar Village, LLC is 1720604499. It was assigned to this organization in the NPPES registry on June 18, 2020. The provider is doing business as Cedar Village Assisted Living & Memory Care.

Where is Fm Cedar Village, LLC located?

Fm Cedar Village, LLC is located at 4452 Lancaster Dr NE, Salem, OR 97305. The listed phone number is (503) 390-9600.

What is Fm Cedar Village, 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 Cedar Village, 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.