WEST SALEM MEMORY CARE LLC NPI 1336765759

NPI Information

  • NPI: 1336765759
  • Provider Name: WEST SALEM MEMORY CARE LLC
  • Classification: Alzheimer Center (Dementia Center) - 311500000X
  • Entity Type: Organization
  • CLIA Number: 38D2203313
  • Address: 2030 WALLACE RD NW
    SALEM, OR
    ZIP 97304
  • Phone: (508) 588-4428

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NPI Details

WEST SALEM MEMORY CARE LLC is an alzheimer center dementia center in Salem, OR. The provider is 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. WEST SALEM MEMORY CARE LLC NPI is 1336765759. The provider is registered as an organization entity type.

The provider's business location address is:

2030 WALLACE RD NW
SALEM, OR
ZIP 97304-123
Phone: (508) 588-4428
Fax: (503) 588-1087

The provider's authorized official is Donald K Harris .
The authorized official title is President and has the following contact phone number (503) 991-6412.

The CLIA number assigned to this NPI record is 38D2203313 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2020 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311500000XAlzheimer Center (Dementia Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1525939MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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