Lsref Golden Ops 26 (Wa), LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

LSREF GOLDEN OPS 26 (WA), LLC

Practice address

300 S Kitsap Blvd
Port Orchard, WA 98366-3778

Phone

(360) 874-7400

Fax

(360) 874-1969

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Wick Peterson

Title

Executive Vice President

Phone

(858) 775-5857

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orchard Pointe Senior Alzheimer Community Doing business as

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1568699197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STEVENS AVE",
            "address_2": "SUITE 100",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S KITSAP BLVD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663778",
            "telephone_number": "360-874-7400",
            "fax_number": "360-874-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSREF GOLDEN OPS 26 (WA), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WICK",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "858-775-5857"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315196",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Pointe Senior Alzheimer Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha C Lowder
• Margaret Lowe, ARNP
• Olivia H Lowery, CF-SLP
• Nicole Lowrie
• Miranda Schoof Lowry, DDS
• Victoria Lucas
• Andrew James Luk, MD, MPH
• Luminosity Medical Allaince, PLLC
• Kelli Lyles, MA
• Sandra Lee Lynam, PTA

• Alzheimer Center (Dementia Center) in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Alzheimer Center (Dementia Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.