OLYMPIA SPECIAL CARE, LLC (NPI# 1861018228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861018228 |
| Entity Type | Organization |
| Organization Name | OLYMPIA SPECIAL CARE, LLC |
| Practice Address |
626 Lilly Rd Ne Olympia WA 98506-5104 |
| Mailing Address |
1800 Blankenship Rd Ste 475 West Linn OR 97068-4248 |
| Practice Telephone | 3604914435 |
| Mailing Telephone | 5033446065 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | TERESA WALDROFF (MANAGER) |
| Authorized Official Telephone | 5033446065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Garden Courte Alzheimer Community | Doing Business As Name - Organization |
| Street Address |
626 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1184240541 | Highland Court Operating Company, LLC | Alzheimer Center (Dementia Center) | 1704 Melody Ln, Port Angeles, WA 98362-4972 | 2020-06-22 |
| 1881210243 | Spring Ridge Retirement, LLC | Alzheimer Center (Dementia Center) | 6856 E Portland Ave, Tacoma, WA 98404-3421 | 2020-06-22 |
| 1457995821 | Kirkland Memory Care, LLC | Alzheimer Center (Dementia Center) | 12217 Ne 128th St, Kirkland, WA 98034-7301 | 2019-10-29 |
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1497294383 | Crh Chandler House LLC | Alzheimer Center (Dementia Center) | 701 N 39th Ave, Yakima, WA 98902-6343 | 2017-02-13 |
| 1467725192 | Ronald Gary Gallucci | Alzheimer Center (Dementia Center) | 242 St Helens Ave, Tacoma, WA 98402-2514 | 2012-02-10 |
| 1528372646 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3710 Kern Way, Yakima, WA 98902-4981 | 2010-07-30 |
| 1427211499 | Highgate Senior Living | Alzheimer Center (Dementia Center) | 155 E Kellogg Rd, Bellingham, WA 98226-8130 | 2008-07-09 |
| 1295997799 | Sunrise of Lynnwood | Alzheimer Center (Dementia Center) | 18625 60th Ave W, Lynnwood, WA 98037-4300 | 2008-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.