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FM ASPEN MC, LLC
NPI 1750907473
Assisted Living Facility in Bend, OR

Active since June 18, 2020
1025 NE PURCELL BLVD, BEND, OR 97701(503) 312-4300(503) 312-6674 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 Aspen Mc, Llc NPPES

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

FM ASPEN MC, LLC (NPI 1750907473), doing business as Aspen Ridge Memory Care, is a healthcare organization registered as an assisted living facility in Bend, Oregon and active in the NPI registry since June 2020. The organization lists Gregory A. Roderick, Member, as its authorized official.

NPPES Registry Identity

NPI1750907473
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFM ASPEN MC, LLC
Location Address1025 NE PURCELL BLVDBend, OR 97701-7316
Mailing Address7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790 · (503) 597-4906 · Fax (503) 443-1919
Phone(503) 312-4300
Fax(503) 312-6674
Organization SubpartNo
Authorized OfficialGregory A. RoderickMember · (503) 443-1818
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1750907473 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.
1025 NE PURCELL BLVD, Bend, OR 97701
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Other Names 1

Doing Business AsAspen Ridge Memory Care

Other Identifiers 1

Medicaid524331OR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLA BETH KNACKSTEDT OTR/L
Occupational Therapist
1025 NE PURCELL BLVD
BEND, OR 97701
Deschutes County (541) 312-4300

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 Aspen Mc, LLC's NPI number?

The NPI number for Fm Aspen Mc, LLC is 1750907473. It was assigned to this organization in the NPPES registry on June 18, 2020. The provider is doing business as Aspen Ridge Memory Care.

Where is Fm Aspen Mc, LLC located?

Fm Aspen Mc, LLC is located at 1025 NE Purcell Blvd, Bend, OR 97701. The listed phone number is (503) 312-4300.

What is Fm Aspen Mc, 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 Aspen Mc, 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.