West Linn Care Center Operating Company, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

WEST LINN CARE CENTER OPERATING COMPANY, LLC

Doing business as

Rose Linn Vintage Place

Practice address

2330 Debok Rd
West Linn, OR 97068-3998

Phone

(503) 655-0474

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Waldroff

Title

Manager

Phone

(503) 344-6065

Specialties & licenses 1

Addresses

Other names 1

• Rose Linn Vintage Place Doing business as

Tax ID family

Heartwood Place Memory Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• WMC Operating Company, LLC

  dba Heartwood Place Memory Care

  • Alzheimer Center (Dementia Center)
  • Woodburn, OR
  • NPI 1205452638
  NPD tax ID

Locations

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": "1720604150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 475",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684248",
            "telephone_number": "503-344-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 DEBOK RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683998",
            "telephone_number": "503-655-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LINN CARE CENTER OPERATING COMPANY, 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": "WALDROFF",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-344-6065"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Linn Vintage Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie S Weeks, MD
• Ted C Weesner, DDS
• Sharon Weldon, LMT
• Jenna Susanne Wertheim, RN
• West Linn Care Center Operating Company LLC
• West Linn Care Ctr Operating Co, LLC (Rose Linn Care Center)
• West Linn Clementine, Inc (Clementine Portland)
• West Linn Clementine, Inc
• West Linn Family Health Center
• West Linn Family Health Center, P.C.

• Alzheimer Center (Dementia Center) in West Linn, OR
• Providers in West Linn, 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 Jun 22, 2020; 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.