West Salem Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

WEST SALEM MEMORY CARE LLC

Practice address

2030 Wallace Rd NW
Salem, OR 97304-2123

Phone

(508) 588-4428

Fax

(503) 588-1087

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Donald K Harris

Title

President

Phone

(503) 991-6412

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1336765759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042123",
            "telephone_number": "508-588-4428",
            "fax_number": "503-588-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042123",
            "telephone_number": "508-588-4428",
            "fax_number": "503-588-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SALEM MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-991-6412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525939",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verena Wessel
• West Coast Dental
• West Hill Anesthesiology PC
• West Hills Assisted Living Community LLC
• West Salem Family Practice Associates LLC
• Amy Lynn West, MAT, ATC
• Hans C West, M.D.
• Matthew F West, ND
• Michelle West
• Westcare Oregon

• Alzheimer Center (Dementia Center) in Salem, OR
• Providers in Salem, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.