Organization Active NPI

Olympia Special Care, LLC

Doing business as Garden Courte Alzheimer Community

  • Alzheimer Center (Dementia Center)
  • Olympia, WA
National Provider Identifier
1861018228
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
OLYMPIA SPECIAL CARE, LLC
Doing business as
Garden Courte Alzheimer Community
Practice address
626 Lilly Rd NE
Olympia, WA 98506-5104
Phone
(360) 491-4435
NPI assigned
Jun 22, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

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

Addresses

Primary practice location

626 Lilly Rd NE
Olympia, WA 98506-5104

Mailing address

1800 Blankenship Rd Ste 475
West Linn, OR 97068-4248
Phone (503) 344-6065

Other names 1

  • Garden Courte Alzheimer Community Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2246398Garden Courte626 Lilly Rd NE, Olympia, WA 98506Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1800 Blankenship Rd
Ste 475
West Linn, OR 97068
Phone (503) 344-6065

626 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-4435

NPI Registry JSON

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": "1861018228",
    "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": "626 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065104",
            "telephone_number": "360-491-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA SPECIAL CARE, 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Courte Alzheimer Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • 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.
  • 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.

Verify at the official NPI Registry.