NPIMap

Organization Active NPI

Elderhealth & Living, Corporation

  • Alzheimer Center (Dementia Center)
  • Springfield, OR
National Provider Identifier
1003965880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
1748265563 Issued in OR
Legal business name
ELDERHEALTH & LIVING, CORPORATION
Practice address
382 S 58TH St Ste B
Springfield, OR 97478-7623
Phone
(541) 747-4858
Fax
(541) 747-5322
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Porter Von Wellsheim, GNP
Title
Medical Director Ceo
Phone
(541) 747-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 1748265563 OR Primary

Addresses

Primary practice location

382 S 58TH St Ste B
Springfield, OR 97478-7623

Mailing address

382 S 58TH St Ste B
Springfield, OR 97478-7623
Phone (541) 747-4858

Other names 1

  • ElderHealth & Living Doing business as

National Provider Directory

National Provider Directory

Locations

382 S 58th St
Ste B
Springfield, OR 97478
Phone (541) 747-4858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11162/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003965880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S 58TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787623",
            "telephone_number": "541-747-4858",
            "fax_number": "541-747-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S 58TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787623",
            "telephone_number": "541-747-4858",
            "fax_number": "541-747-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERHEALTH & LIVING, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VON WELLSHEIM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR CEO",
        "authorized_official_telephone_number": "541-747-4858",
        "authorized_official_credential": "GNP"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OR",
            "license": "1748265563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ElderHealth & Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.