Active NPI
Highland Court Operating Company, LLC
Doing business as Highland Court Memory Care
- Alzheimer Center (Dementia Center)
- Port Angeles, WA
National Provider Identifier
1184240541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- HIGHLAND COURT OPERATING COMPANY, LLC
- Doing business as
- Highland Court Memory Care
- Practice address
- 1704 Melody LN
Port Angeles, WA 98362-4972 - Phone
- (503) 344-6065
- NPI assigned
- Jun 22, 2020
- 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
- Teresa Waldroff
- Title
- Manager
- Phone
- (503) 344-6065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | Primary |
Addresses
Primary practice location
1704 Melody LN
Port Angeles, WA 98362-4972
Mailing address
1800 Blankenship Rd Ste 475
West Linn, OR 97068-4248
Phone (033) 446-0655
Other names 1
- Highland Court Memory Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2243002 | Highland Court Memory Care | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1704 Melody Ln
Port Angeles, WA 98362
Phone (503) 344-6065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1184240541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BLANKENSHIP RD STE 475",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684248",
"telephone_number": "033-446-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 MELODY LN",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624972",
"telephone_number": "503-344-6065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND COURT OPERATING COMPANY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "WALDROFF",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "503-344-6065"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Court Memory Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.