NPIMap

Organization Active NPI

TSL Springfield Operating, LLC

  • Alzheimer Center (Dementia Center)
  • Springfield, OR
National Provider Identifier
1740898576
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
TSL SPRINGFIELD OPERATING, LLC
Practice address
382 S 58TH St Ste B
Springfield, OR 97478-7623
Phone
(541) 747-4858
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Peary D Wood
Title
Manager
Phone
(503) 970-7854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

382 S 58TH St Ste B
Springfield, OR 97478-7623

Mailing address

9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425
Phone (503) 719-5614

Other names 1

  • ElderHealth & Living Memory Village Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1740898576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 SW BARBUR BLVD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195425",
            "telephone_number": "503-719-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S 58TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787623",
            "telephone_number": "541-747-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSL SPRINGFIELD OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PEARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-970-7854"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ElderHealth & Living Memory Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.