MYRTLE CREEK ALF, LLC
NPI 1790300077
Assisted Living Facility in Myrtle Creek, OR

Q: What is Myrtle Creek Alf, LLC's NPI number?

The NPI number for Myrtle Creek Alf, LLC is 1790300077. It was assigned to this organization in the NPPES registry on June 11, 2020. The provider is doing business as Adams House.

Q: What is Myrtle Creek Alf, LLC's specialty?

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

Active since June 11, 2020CLIA 38D2195918 · Waiver

121 SE CORDELIA DR, MYRTLE CREEK, OR 97457(541) 863-4444 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Myrtle Creek Alf, Llc NPPES

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

MYRTLE CREEK ALF, LLC (NPI 1790300077), doing business as Adams House, is a healthcare organization registered as an assisted living facility in Myrtle Creek, Oregon and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Peter Verdieck, Evp Finance & Administration, as its authorized official.

NPPES Registry Identity

NPI1790300077

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMYRTLE CREEK ALF, LLC

Location Address121 SE CORDELIA DRMyrtle Creek, OR 97457-7411

Mailing Address15900 Se 82nd DrClackamas, OR 97015-9502 · (503) 255-4647

Phone(541) 863-4444

Organization SubpartNo

Authorized OfficialPeter VerdieckEvp Finance & Administration · (503) 255-4647

Enumeration DateJune 11, 2020

NPPES CertifiedJune 11, 2020

✔ NPI 1790300077 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.

121 SE CORDELIA DR, Myrtle Creek, OR 97457

Open in Google Maps ↗

Other Names 1

Doing Business AsAdams House

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 38D2195918

Myrtle Creek Alf, LLC Dba Adams House · Myrtle Creek, OR

Active · expires Oct 12, 2026

CLIA Number38D2195918

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 13, 2024

Certificate Expiration DateOctober 12, 2026

Laboratory DirectorKaren Baumgartner

Laboratory Phone(541) 863-4444

Laboratory LocationMyrtle Creek Alf, LLC Dba Adams House121 SE Cordelia Dr, Myrtle Creek, OR 97457

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 Myrtle Creek Alf, LLC's NPI number?

The NPI number for Myrtle Creek Alf, LLC is 1790300077. It was assigned to this organization in the NPPES registry on June 11, 2020. The provider is doing business as Adams House.

Where is Myrtle Creek Alf, LLC located?

Myrtle Creek Alf, LLC is located at 121 SE Cordelia Dr, Myrtle Creek, OR 97457. The listed phone number is (541) 863-4444.

What is Myrtle Creek Alf, LLC's specialty?

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

Does Myrtle Creek Alf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2195918) is associated with this NPI, valid through October 12, 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 Myrtle Creek 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.