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SUTHERLIN ALF, LLC
NPI 1104441583
Assisted Living Facility in Sutherlin, OR

Active since June 11, 2020CLIA 38D2194713 · Waiver
1465 E CENTRAL AVE, SUTHERLIN, OR 97479(541) 459-6300 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sutherlin Alf, Llc NPPES

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

SUTHERLIN ALF, LLC (NPI 1104441583), doing business as Applegate Place, is a healthcare organization registered as an assisted living facility in Sutherlin, Oregon and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Peter Verdieck, Evp Finance And Administration, as its authorized official.

NPPES Registry Identity

NPI1104441583
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUTHERLIN ALF, LLC
Location Address1465 E CENTRAL AVESutherlin, OR 97479-9700
Mailing Address15900 Se 82nd DrClackamas, OR 97015-9502 · (503) 255-4647
Phone(541) 459-6300
Organization SubpartNo
Authorized OfficialPeter VerdieckEvp Finance And Administration · (503) 255-4647
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1104441583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1465 E CENTRAL AVE, Sutherlin, OR 97479
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Other Names 1

Doing Business AsApplegate Place

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 38D2194713

Sutherlin Alf, LLC Dba Applegate Place · Sutherlin, OR
Active · expires Oct 1, 2026
CLIA Number38D2194713
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorRegan Tucker
Laboratory Phone(541) 459-6300
Laboratory LocationSutherlin Alf, LLC Dba Applegate Place1465 E Central Ave, Sutherlin, OR 97479
CLIA data matches this NPI record on: Address Name Phone
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 Sutherlin Alf, LLC's NPI number?

The NPI number for Sutherlin Alf, LLC is 1104441583. It was assigned to this organization in the NPPES registry on June 11, 2020. The provider is doing business as Applegate Place.

Where is Sutherlin Alf, LLC located?

Sutherlin Alf, LLC is located at 1465 E Central Ave, Sutherlin, OR 97479. The listed phone number is (541) 459-6300.

What is Sutherlin Alf, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Sutherlin Alf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2194713) is associated with this NPI, valid through October 1, 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 Sutherlin Alf, LLC was last updated on June 11, 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.