Active NPI
West Linn Care Center Operating Company LLC
- Nursing Facility/Intermediate Care Facility
- West Linn, OR
National Provider Identifier
1134495039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 1565662204
- Legal business name
- WEST LINN CARE CENTER OPERATING COMPANY LLC
- Practice address
- 2330 Debok Rd
West Linn, OR 97068-3902 - Phone
- (503) 655-0474
- NPI assigned
- Mar 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Teresa Lee Waldroff
- Title
- Manager
- Phone
- (503) 706-0878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 1565662204 | OR | Primary |
Addresses
Primary practice location
2330 Debok Rd
West Linn, OR 97068-3902
Mailing address
20300 S South End Rd
Oregon City, OR 97045-7700
Phone (503) 706-0878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38E018 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140602001714 | OR | Part A Provider - Skilled Nursing Facility | 6507089075 | Practice locations: West Linn, OR |
Skilled nursing facility certification: CCN 385278
- Legal name
- WEST LINN CARE CENTER OPERATING COMPANY LLC
- Doing business as
- ROSE LINN CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 3, 2014
- Last certification
- Jan 31, 2025
- Beds
- 71
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 2330 Debok Rd
West Linn, OR 97068-3902 - Nursing home name
- ROSE LINN CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rose Linn Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 3, 2014
- Medicare certification status
- Active
- Certified beds
- 71
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Prudential Huntoon Paige Associates LTC Isaoa | 5% Or Greater Mortgage Interest | Jul 1, 2012 | 35% |
| Adp of the SNF | Jul 1, 2012 | ||
| Du Brin Corporation | Limited Partnership Interest | Jul 1, 2012 | 17.8% |
| Adp of the SNF | Jul 1, 2012 | ||
| Harry Geistlinger | Limited Partnership Interest | Jul 1, 2012 | 20% |
| Adp of the SNF | Jul 1, 2012 | ||
| Adp of the SNF | May 15, 2015 | ||
| Cheryl Zoller | Limited Partnership Interest | Jul 1, 2012 | 12.22% |
| Adp of the SNF | Jul 1, 2012 | ||
| Linda R Dubrin | Limited Partnership Interest | Jul 1, 2012 | 17.8% |
| Adp of the SNF | Jul 1, 2012 | ||
| M H Zoller Co LLC | Limited Partnership Interest | Jul 1, 2012 | 24.44% |
| Adp of the SNF | Jul 1, 2012 | ||
| Teresa Lee Waldroff | Limited Partnership Interest | Jul 1, 2012 | 20% |
| Operational/Managerial Control | Jul 1, 2012 | ||
| Adp of the SNF | Jul 1, 2012 | ||
| West Linn Care Center Operating Company LLC | Limited Partnership Interest | Jul 1, 2012 | 100% |
| Adp of the SNF | Jul 1, 2012 | ||
| Adp of the SNF | Oct 13, 2025 | ||
| Independence Rehab LLC | Adp of the SNF | Jul 5, 2022 | |
| Greg J Madson | Operational/Managerial Control | May 27, 2025 | |
| Adp of the SNF | Oct 10, 2025 | ||
| Benicia Senior Living LLC | Operational/Managerial Control | Jul 1, 2012 | 100% |
| Adp of the SNF | Oct 13, 2025 | ||
| Mark Zoller | Limited Partnership Interest | Jul 1, 2012 | 12.22% |
| Adp of the SNF | Jul 1, 2012 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406678400000",
"number": "1134495039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20300 S SOUTH END RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970457700",
"telephone_number": "503-706-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 DEBOK RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683902",
"telephone_number": "503-655-0474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST LINN CARE CENTER OPERATING COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-26",
"last_updated": "2014-07-30",
"status": "A",
"authorized_official_last_name": "WALDROFF",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "503-706-0878",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OR",
"license": "1565662204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38E018",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.