SPRING RIDGE RETIREMENT, LLC (NPI# 1881210243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881210243 |
| Entity Type | Organization |
| Organization Name | SPRING RIDGE RETIREMENT, LLC |
| Practice Address |
6856 E Portland Ave Tacoma WA 98404-3421 |
| Mailing Address |
1800 Blankenship Rd Ste 475 West Linn OR 97068-4248 |
| Practice Telephone | 5033446065 |
| Mailing Telephone | 0334460655 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | TERESA WALDROFF (MANAGER) |
| Authorized Official Telephone | 5033446065 |
| 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 |
|---|---|---|
| Washington State Corporations | SPRING RIDGE RETIREMENT, LLC | 1800 Blankenship Rd Ste 475, West Linn, OR 97068-4248 |
| Street Address |
6856 E PORTLAND AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| 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 |
|---|---|---|---|---|
| 1467725192 | Ronald Gary Gallucci | Alzheimer Center (Dementia Center) | 242 St Helens Ave, Tacoma, WA 98402-2514 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1184240541 | Highland Court Operating Company, LLC | Alzheimer Center (Dementia Center) | 1704 Melody Ln, Port Angeles, WA 98362-4972 | 2020-06-22 |
| 1861018228 | Olympia Special Care, LLC | Alzheimer Center (Dementia Center) | 626 Lilly Rd Ne, Olympia, WA 98506-5104 | 2020-06-22 |
| 1457995821 | Kirkland Memory Care, LLC | Alzheimer Center (Dementia Center) | 12217 Ne 128th St, Kirkland, WA 98034-7301 | 2019-10-29 |
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1497294383 | Crh Chandler House LLC | Alzheimer Center (Dementia Center) | 701 N 39th Ave, Yakima, WA 98902-6343 | 2017-02-13 |
| 1528372646 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3710 Kern Way, Yakima, WA 98902-4981 | 2010-07-30 |
| 1427211499 | Highgate Senior Living | Alzheimer Center (Dementia Center) | 155 E Kellogg Rd, Bellingham, WA 98226-8130 | 2008-07-09 |
| 1295997799 | Sunrise of Lynnwood | Alzheimer Center (Dementia Center) | 18625 60th Ave W, Lynnwood, WA 98037-4300 | 2008-06-26 |
| 1073774436 | Sunrise Senior Living of Edmonds | Alzheimer Center (Dementia Center) | 750 Edmonds Way, Edmonds, WA 98020-5126 | 2008-06-18 |
| 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.