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RSL GRESHAM, LLC
NPI 1760008684
Assisted Living Facility in Gresham, OR

Active since June 17, 2020CLIA 38D2197546 · Waiver
1655 NE 18TH ST, GRESHAM, OR 97030(503) 665-1994(503) 489-0283 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rsl Gresham, Llc NPPES

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

RSL GRESHAM, LLC (NPI 1760008684), doing business as Farmington Square Gresham, is a healthcare organization registered as an assisted living facility in Gresham, Oregon and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists James Guffee, President Of Manager, as its authorized official.

NPPES Registry Identity

NPI1760008684
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRSL GRESHAM, LLC
Location Address1655 NE 18TH STGresham, OR 97030-4113
Mailing Address10220 Sw Greenburg Rd Ste 201Portland, OR 97223-5505 · (503) 595-2810 · Fax (503) 595-2818
Phone(503) 665-1994
Fax(503) 489-0283
Organization SubpartYesParent: Radiant Companies, Inc.
Authorized OfficialJames GuffeePresident Of Manager · (503) 595-2810
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1760008684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
1655 NE 18TH ST, Gresham, OR 97030
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Other Names 1

Doing Business AsFarmington Square Gresham

Other Identifiers 3

Medicaid522959OR
Medicaid522960OR
Other1046513855OR · Residential Care Facility License

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 38D2197546

Rsl Gresham LLC · Gresham, OR
Active · expires Oct 25, 2026
CLIA Number38D2197546
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorJodi L. Guffee
Laboratory Phone(503) 595-2810
Laboratory LocationRsl Gresham LLC1655 NE 18th Street, 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.

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 Rsl Gresham, LLC's NPI number?

The NPI number for Rsl Gresham, LLC is 1760008684. It was assigned to this organization in the NPPES registry on June 17, 2020. The provider is doing business as Farmington Square Gresham.

Where is Rsl Gresham, LLC located?

Rsl Gresham, LLC is located at 1655 NE 18th St, Gresham, OR 97030. The listed phone number is (503) 665-1994.

What is Rsl Gresham, LLC's specialty?

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

Does Rsl Gresham, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2197546) is associated with this NPI, valid through October 25, 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 Rsl Gresham, LLC was last updated on June 17, 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.