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WEST SALEM MEMORY CARE LLC
NPI 1336765759
Alzheimer Center (Dementia Center) in Salem, OR

Active since June 22, 2020CLIA 38D2203313 · Waiver
2030 WALLACE RD NW, SALEM, OR 97304(508) 588-4428(503) 588-1087 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2020, Jun 22, 2020 (2 updates tracked since 2020).

About West Salem Memory Care Llc NPPES

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

WEST SALEM MEMORY CARE LLC (NPI 1336765759) is a healthcare organization registered as an alzheimer center (dementia center) in Salem, Oregon and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Donald K Harris, President, as its authorized official.

NPPES Registry Identity

NPI1336765759
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameWEST SALEM MEMORY CARE LLC
Location Address2030 WALLACE RD NWSalem, OR 97304-2123
Mailing Address2030 Wallace Rd NwSalem, OR 97304-2123 · (508) 588-4428 · Fax (503) 588-1087
Phone(508) 588-4428
Fax(503) 588-1087
Organization SubpartNo
Authorized OfficialDonald K HarrisPresident · (503) 991-6412
Enumeration DateJune 22, 2020
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1336765759 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.
2030 WALLACE RD NW, Salem, OR 97304
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Other Identifiers 1

Medicaid525939OR

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 38D2203313

West Salem Memory Care, LLC · Salem, OR
Active · expires Dec 2, 2026
CLIA Number38D2203313
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorHeather Golden
Laboratory Phone(503) 912-4551
Laboratory LocationWest Salem Memory Care, LLC2030 Wallace Road NW, Salem, OR 97304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 West Salem Memory Care LLC's NPI number?

The NPI number for West Salem Memory Care LLC is 1336765759. It was assigned to this organization in the NPPES registry on June 22, 2020.

Where is West Salem Memory Care LLC located?

West Salem Memory Care LLC is located at 2030 Wallace Rd NW, Salem, OR 97304. The listed phone number is (508) 588-4428.

What is West Salem Memory Care LLC's specialty?

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

Does West Salem Memory Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2203313) is associated with this NPI, valid through December 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 West Salem Memory Care LLC was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.