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

LYNN ANN DEVELOPMENT, LLC
NPI 1881210136
Assisted Living Facility in Grants Pass, OR

Active since June 23, 2020
1700 KELLENBECK AVE, GRANTS PASS, OR 97527(541) 956-0999 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lynn Ann Development, Llc NPPES

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

LYNN ANN DEVELOPMENT, LLC (NPI 1881210136), doing business as Countryside Village, is a healthcare organization registered as an assisted living facility in Grants Pass, Oregon and active in the NPI registry since June 2020. The organization lists Kira Bellis, Regional Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881210136
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLYNN ANN DEVELOPMENT, LLC
Location Address1700 KELLENBECK AVEGrants Pass, OR 97527-4251
Mailing Address20058 Beth Ave Unit 2Bend, OR 97702-3067 · (541) 610-5847
Phone(541) 956-0999
Organization SubpartNo
Authorized OfficialKira BellisRegional Business Office Manager · (541) 610-5847
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1881210136 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.
1700 KELLENBECK AVE, Grants Pass, OR 97527
Open in Google Maps ↗

Other Names 1

Doing Business AsCountryside Village

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 Lynn Ann Development, LLC's NPI number?

The NPI number for Lynn Ann Development, LLC is 1881210136. It was assigned to this organization in the NPPES registry on June 23, 2020. The provider is doing business as CountrySide Village.

Where is Lynn Ann Development, LLC located?

Lynn Ann Development, LLC is located at 1700 Kellenbeck Ave, Grants Pass, OR 97527. The listed phone number is (541) 956-0999.

What is Lynn Ann Development, 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 Lynn Ann Development, LLC was last updated on June 23, 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.