BROOKDALE MT. HOOD
NPI 1659437085
Assisted Living Facility in Gresham, OR

Active since December 29, 2006
25200 SE STARK ST, GRESHAM, OR 97030(503) 665-4300 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookdale Mt. Hood NPPES

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

BROOKDALE MT. HOOD (NPI 1659437085) is a healthcare organization registered as an assisted living facility in Gresham, Oregon and active in the NPI registry since December 2006. The organization lists Bryan Richardson, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1659437085
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.
Location Address25200 SE STARK STGresham, OR 97030-8314
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Organization SubpartNo
Authorized OfficialBryan RichardsonExecutive Vice President · (615) 221-2250
Enumeration DateDecember 29, 2006
Last NPPES UpdateMay 8, 2017
NPI 1659437085 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.

25200 SE STARK ST, Gresham, OR 97030

Other Names 1

Doing Business AsBrookdale Mt. Hood

Other Identifiers 1

Medicaid531533OR

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 38D2149973

Brookdale Mt Hood Senior Living · Gresham, OR
Expired · Jun 13, 2026
CLIA Number38D2149973
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 14, 2024
Certificate Expiration DateJune 13, 2026
Laboratory DirectorBrittany A. Thurston
Laboratory Phone(503) 665-4300
Laboratory LocationBrookdale Mt Hood Senior Living25200 SE Stark St, Gresham, OR 97030
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.

Occupational Therapist
25200 SE STARK ST
GRESHAM, OR 97030
Assisted Living Facility
25200 SE STARK ST
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659437085, enumerated as an "organization" on December 29, 2006.

The provider is located at 25200 SE STARK ST GRESHAM, OR 97030 and the phone number is (503) 665-4300.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.