ST. ANDREWS MEMORY CARE
NPI 1316362189
Alzheimer Center (Dementia Center) in Portland, OR

Active since March 03, 2014CLIA 38D2198716 · Waiver
7617 SE MAIN ST, PORTLAND, OR 97215(503) 257-7946 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Andrews Memory Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. ANDREWS MEMORY CARE (NPI 1316362189) is a healthcare organization registered as an alzheimer center (dementia center) in Portland, Oregon and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Deepak Israni, General Manager, as its authorized official.

NPPES Registry Identity

NPI1316362189
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameST. ANDREWS MEMORY CARE
Location Address7617 SE MAIN STPortland, OR 97215-3075
Mailing Address1775 Hancock St Ste 200San Diego, CA 92110-2036
Organization SubpartNo
Authorized OfficialDeepak IsraniGeneral Manager · (619) 296-9000
Enumeration DateMarch 3, 2014
NPI 1316362189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
7617 SE MAIN ST, Portland, OR 97215

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2198716

St Andrews Memory Care · Portland, OR
Active · expires Nov 2, 2026
CLIA Number38D2198716
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorJoshua Thompson
Laboratory Phone(503) 257-7946
Laboratory LocationSt Andrews Memory Care7617 SE Main Street, Portland, OR 97215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Alzheimer Center (Dementia Center)
7617 SE MAIN ST
PORTLAND, OR 97215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Andrews Memory Care's NPI number?

The NPI number for St. Andrews Memory Care is 1316362189. It was assigned to this organization in the NPPES registry on March 3, 2014.

Where is St. Andrews Memory Care located?

St. Andrews Memory Care is located at 7617 SE Main St, Portland, OR 97215. The listed phone number is (503) 257-7946.

What is St. Andrews Memory Care's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does St. Andrews Memory Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2198716) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Andrews Memory Care was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.