Active NPI
MC Op Co, LLC
Doing business as Regent Court
- Alzheimer Center (Dementia Center)
- Corvallis, OR
National Provider Identifier
1508511999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- MC OP CO, LLC
- Doing business as
- Regent Court
- Practice address
- 400 NW Elks Dr
Corvallis, OR 97330-3744 - Phone
- (541) 243-7659
- NPI assigned
- Feb 15, 2022
- Last updated
- Feb 15, 2022
- 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
- Jacob Schaefer
- Title
- Executive Vice President
- Phone
- (503) 201-8356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | NU | Primary |
Addresses
Primary practice location
400 NW Elks Dr
Corvallis, OR 97330-3744
Mailing address
1220 20TH St SE Ste 310
Salem, OR 97302-1205
Phone (503) 766-3161
Other names 1
- Regent Court
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 |
|---|---|---|---|
| 38D0972746 | Regent Court Memory Care | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
400 NW Elks Dr
Corvallis, OR 97330
Phone (541) 243-7659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1508511999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 20TH ST SE STE 310",
"city": "SALEM",
"state": "OR",
"postal_code": "973021205",
"telephone_number": "503-766-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NW ELKS DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303744",
"telephone_number": "541-243-7659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MC OP CO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "503-201-8356"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regent Court",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.