1. Home
  2. Directory
  3. Oregon
  4. Canby
  5. Assisted Living Facility
  6. NPI Profile

RACKLEFF PLACE
NPI 1649895921
Assisted Living Facility in Canby, OR

Active since June 11, 2020
655 SW 13TH AVE, CANBY, OR 97013(503) 266-9555 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rackleff Place NPPES

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

RACKLEFF PLACE (NPI 1649895921) is a healthcare organization registered as an assisted living facility in Canby, Oregon and active in the NPI registry since June 2020. The organization lists Peter Verdieck, Evp Finance & Administration, as its authorized official.

NPPES Registry Identity

NPI1649895921
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCANBY ALF, LLC
Location Address655 SW 13TH AVECanby, OR 97013-4051
Mailing Address15900 Se 82nd DrClackamas, OR 97015-9502 · (503) 255-4647
Phone(503) 266-9555
Organization SubpartNo
Authorized OfficialPeter VerdieckEvp Finance & Administration · (503) 255-4647
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1649895921 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.
655 SW 13TH AVE, Canby, OR 97013
Open in Google Maps ↗

Other Names 1

Doing Business AsRackleff 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 38D2195111

Rackleff Place · Canby, OR
Expired · Oct 5, 2026
CLIA Number38D2195111
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorLynn Vickers
Laboratory Phone(503) 266-9555
Laboratory LocationRackleff Place655 SW 13th Ave, Canby, OR 97013
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 Canby Alf, LLC's NPI number?

The NPI number for Canby Alf, LLC is 1649895921. It was assigned to this organization in the NPPES registry on June 11, 2020. The provider is doing business as Rackleff Place.

Where is Canby Alf, LLC located?

Canby Alf, LLC is located at 655 SW 13th Ave, Canby, OR 97013. The listed phone number is (503) 266-9555.

What is Canby Alf, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Canby 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.