ST. ANDREWS MEMORY CARE (NPI# 1316362189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316362189 |
| Entity Type | Organization |
| Organization Name | ST. ANDREWS MEMORY CARE |
| Practice Address |
7617 Se Main St Portland OR 97215-3075 |
| Mailing Address |
1775 Hancock St Ste 200 San Diego CA 92110-2036 |
| Practice Telephone | 5032577946 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | DEEPAK ISRANI (GENERAL MANAGER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ST. ANDREWS MEMORY CARE | 7617 Se Main St, Portland, OR 97215 |
| Street Address |
7617 SE MAIN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428687 | Melody Court Memory Care, LLC | Alzheimer Center (Dementia Center) | 5732 Se 122nd Ave, Portland, OR 97236-4604 | 2019-10-12 |
| 1083012108 | Marcia Kerensky, Md | Alzheimer Center (Dementia Center) | 1804 Sw Pendleton St, Portland, OR 97239-2050 | 2014-12-06 |
| 1730369349 | Emerson House | Alzheimer Center (Dementia Center) | 3577 Se Division St, Portland, OR 97202-1561 | 2007-11-12 |
| 1679998447 | Pinecrest Senior Villa | Alzheimer Center (Dementia Center) | 1808 Se 182nd Ave, Portland, OR 97233-5120 | 2014-03-03 |
| 1477880870 | Pcal, LLC | Alzheimer Center (Dementia Center) | 68 Devonshire St, Portland, ME 04103-4431 | 2009-11-06 |
| 1427283514 | 68 Devonshire Street | Alzheimer Center (Dementia Center) | 68 Devonshire St, Portland, ME 04103-4431 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567502 | Bend Arbor, LLC | Alzheimer Center (Dementia Center) | 1290 Sw Silver Lake Blvd, Bend, OR 97702-2236 | 2020-10-28 |
| 1710504782 | Rsl Eugene, LLC | Alzheimer Center (Dementia Center) | 2730 Bailey Ln, Eugene, OR 97401-6923 | 2020-06-25 |
| 1427674852 | River Grove Operating Company, LLC | Alzheimer Center (Dementia Center) | 140 Green Ln, Eugene, OR 97404-2441 | 2020-06-22 |
| 1336765759 | West Salem Memory Care LLC | Alzheimer Center (Dementia Center) | 2030 Wallace Rd Nw, Salem, OR 97304-2123 | 2020-06-22 |
| 1205452638 | Wmc Operating Company, LLC | Alzheimer Center (Dementia Center) | 2325 N Boones Ferry Rd, Woodburn, OR 97071-9627 | 2020-06-22 |
| 1457977134 | Bridge Creek Investors LLC | Alzheimer Center (Dementia Center) | 1401 S 12th St, Lebanon, OR 97355-1201 | 2020-06-18 |
| 1013533710 | Valley View Investors LLC | Alzheimer Center (Dementia Center) | 112 Valley View Dr, John Day, OR 97845-1286 | 2020-06-18 |
| 1023634854 | Rsl Springfield, LLC | Alzheimer Center (Dementia Center) | 6135 E St, Springfield, OR 97478-7023 | 2020-06-17 |
| 1093331811 | Rsl Medford, LLC | Alzheimer Center (Dementia Center) | 1530 Poplar Dr, Medford, OR 97504-4612 | 2020-06-17 |
| 1760008684 | Rsl Gresham, LLC | Alzheimer Center (Dementia Center) | 1655 Ne 18th St, Gresham, OR 97030-4113 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.