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ORCHARD POINTE SENIOR ALZHEIMER COMMUNITY
NPI 1568699197
Alzheimer Center (Dementia Center) in Port Orchard, WA

Active since June 22, 2009CLIA 50D2166501 · Waiver
300 S KITSAP BLVD, PORT ORCHARD, WA 98366(360) 874-7400(360) 874-1969 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Orchard Pointe Senior Alzheimer Community NPPES

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

ORCHARD POINTE SENIOR ALZHEIMER COMMUNITY (NPI 1568699197) is a healthcare organization registered as an alzheimer center (dementia center) in Port Orchard, Washington and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Wick Peterson, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1568699197
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameLSREF GOLDEN OPS 26 (WA), LLC
Location Address300 S KITSAP BLVDPort Orchard, WA 98366-3778
Mailing Address500 Stevens Ave, Suite 100Solana Beach, CA 92075-2055
Phone(360) 874-7400
Fax(360) 874-1969
Organization SubpartNo
Authorized OfficialWick PetersonExecutive Vice President · (858) 775-5857
Enumeration DateJune 22, 2009
✔ NPI 1568699197 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.
300 S KITSAP BLVD, Port Orchard, WA 98366
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Other Names 1

Doing Business AsOrchard Pointe Senior Alzheimer Community

Other Identifiers 1

Medicaid315196WA

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 50D2166501

Orchard Pointe · Port Orchard, WA
Active · expires Apr 4, 2028
CLIA Number50D2166501
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 20, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAngela Davis
Laboratory Phone(360) 874-7400
Laboratory LocationOrchard Pointe300 S Kitsap Blvd, Port Orchard, WA 98366
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 2

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

PORT ORCHARD ALZHEIMERS CARE LLC
Assisted Living Facility
300 S KITSAP BLVD
PORT ORCHARD, WA 98366
Kitsap County (360) 874-7400
AHR PORT ORCHARD WA ALF TRS SUB, LLC
Alzheimer Center (Dementia Center)
300 S KITSAP BLVD
PORT ORCHARD, WA 98366
Kitsap County (949) 270-9200

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 Lsref Golden Ops 26 (wa), LLC's NPI number?

The NPI number for Lsref Golden Ops 26 (wa), LLC is 1568699197. It was assigned to this organization in the NPPES registry on June 22, 2009. The provider is doing business as Orchard Pointe Senior Alzheimer Community.

Where is Lsref Golden Ops 26 (wa), LLC located?

Lsref Golden Ops 26 (wa), LLC is located at 300 S Kitsap Blvd, Port Orchard, WA 98366. The listed phone number is (360) 874-7400.

What is Lsref Golden Ops 26 (wa), LLC's specialty?

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

Does Lsref Golden Ops 26 (wa), LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2166501) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lsref Golden Ops 26 (wa), LLC was last updated on June 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.