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REGENCY PARK PLACE @ CORVALLIS
NPI 1821232687
Assisted Living Facility in Corvallis, OR

Active since April 23, 2009CLIA 38D2194707 · Waiver
2595 NE JACK LONDON ST, CORVALLIS, OR 97330(541) 754-5808 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regency Park Place @ Corvallis NPPES

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

REGENCY PARK PLACE @ CORVALLIS (NPI 1821232687) is a healthcare organization registered as an assisted living facility in Corvallis, Oregon and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Doug Devore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821232687
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREGENCY @ CORVALLIS, LLC
Location Address2595 NE JACK LONDON STCorvallis, OR 97330-6915
Mailing Address2595 Ne Jack London StCorvallis, OR 97330-6915 · (541) 754-5808
Phone(541) 754-5808
Organization SubpartNo
Authorized OfficialDoug DevoreCfo · (425) 392-4066
Enumeration DateApril 23, 2009
✔ NPI 1821232687 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.
2595 NE JACK LONDON ST, Corvallis, OR 97330
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Other Names 1

Doing Business AsRegency Park Place @ Corvallis

Other Identifiers 1

Other1659522651OR · State Licence

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2194707

Regency Park Place · Corvallis, OR
Active · expires Oct 1, 2026
CLIA Number38D2194707
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorRochelle Collett
Laboratory Phone(541) 754-5808
Laboratory LocationRegency Park Place2595 NE Jack London St, Corvallis, OR 97330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Regency @ Corvallis, LLC's NPI number?

The NPI number for Regency @ Corvallis, LLC is 1821232687. It was assigned to this organization in the NPPES registry on April 23, 2009. The provider is doing business as Regency Park Place @ Corvallis.

Where is Regency @ Corvallis, LLC located?

Regency @ Corvallis, LLC is located at 2595 NE Jack London St, Corvallis, OR 97330. The listed phone number is (541) 754-5808.

What is Regency @ Corvallis, LLC's specialty?

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

Does Regency @ Corvallis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2194707) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regency @ Corvallis, LLC was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.