Active NPI
Oro Valley Memory Associates, LLC
Doing business as Catalina Springs Memory Care
- Assisted Living Facility
- Oro Valley, AZ
National Provider Identifier
1346866753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ORO VALLEY MEMORY ASSOCIATES, LLC
- Doing business as
- Catalina Springs Memory Care
- Practice address
- 9685 N Oracle Rd
Oro Valley, AZ 85704-8501 - Phone
- (520) 297-2500
- NPI assigned
- Jun 22, 2020
- Last updated
- 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
- Gregory Roderick
- Title
- Member
- Phone
- (503) 443-1818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
9685 N Oracle Rd
Oro Valley, AZ 85704-8501
Mailing address
7420 SW Bridgeport Rd Ste 105
Portland, OR 97224-7790
Phone (503) 597-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199778 | Medicaid | AZ |
Other names 1
- Catalina Springs 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 |
|---|---|---|---|
| 03D2144486 | Catalina Springs | Certificate of waiver | Feb 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
9685 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-2500
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": "1346866753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 SW BRIDGEPORT RD STE 105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247790",
"telephone_number": "503-597-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9685 N ORACLE RD",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857048501",
"telephone_number": "520-297-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORO VALLEY MEMORY ASSOCIATES, 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": "RODERICK",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "503-443-1818"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199778",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Catalina Springs Memory Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oro Valley, AZ
- Oro Valley Hospital LLC (Oro Valley Hospital)
- Oro Valley Hospital LLC (Oro Valley Hospital)
- Oro Valley Hospital LLC (Skilled Nursing Unit at Oro Valley Hospital)
- Oro Valley Medical Massage LLC
- Oro Valley Medicine LLC
- Oro Valley Neurology PLLC
- Oro Valley Pediatrics, P.C.
- Oro Valley Surgical Suites LLC
- Orthomed LLC (Proactive Physical Therapy)
- Jennifer H Otto, N.P.
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.