Northridge Senior Living, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

NORTHRIDGE SENIOR LIVING, LLC

Practice address

2979 E Barnett Rd
Medford, OR 97504-8397

Phone

(541) 779-6943

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Memory Amber Salliotte

Title

Executive Director

Phone

(541) 779-6943

Specialties & licenses 1

Addresses

Other names 1

• Northridge Center Inc Other name

Locations

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1609486828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048397",
            "telephone_number": "541-779-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048397",
            "telephone_number": "541-779-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "SALLIOTTE",
        "authorized_official_first_name": "MEMORY",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-779-6943"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northridge Center Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lorena Norman, MSW, CSWA
• Nicholas Scott Normandin
• Tabitha Norris, RPH
• Sarah Jean North, L.M.T.
• Northland Hearing Centers, Inc. (Pacific Coast Hearing Center)
• Northwest Dental Associates -Medford LLC
• Northwest Diagnostic Services
• Northwest Life Chiropractic
• Northwest Medical, LLC.
• Northwest Pain Management Inc (Intractable Pain Centers)

• Adult Day Care Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Adult Day Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.