REDMOND ALF, LLC
NPI 1922623206
Assisted Living Facility in Redmond, OR

Active since June 11, 2020CLIA 38D2194718 · Waiver
3550 SW CANAL BLVD, REDMOND, OR 97756(541) 504-1600 Get Directions Write a Review

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

About Redmond Alf, Llc NPPES

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

REDMOND ALF, LLC (NPI 1922623206), doing business as Brookside Place, is a healthcare organization registered as an assisted living facility in Redmond, 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 & Administration, as its authorized official.

NPPES Registry Identity

NPI1922623206
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREDMOND ALF, LLC
Location Address3550 SW CANAL BLVDRedmond, OR 97756-8947
Mailing Address15900 Se 82nd DrClackamas, OR 97015-9502 · (503) 255-4647
Organization SubpartNo
Authorized OfficialPeter VerdieckEvp Finance & Administration · (503) 255-4647
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
NPI 1922623206 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.
3550 SW CANAL BLVD, Redmond, OR 97756

Other Names 1

Doing Business AsBrookside 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 38D2194718

Redmond Alf, LLC Dba Brookside Place · Redmond, OR
Active · expires Oct 1, 2026
CLIA Number38D2194718
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorCharles Davenport
Laboratory Phone(541) 504-1600
Laboratory LocationRedmond Alf, LLC Dba Brookside Place3550 SW Canal Blvd, Redmond, OR 97756
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
3550 SW CANAL BLVD
REDMOND, OR 97756

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 Redmond Alf, LLC's NPI number?

The NPI number for Redmond Alf, LLC is 1922623206. It was assigned to this organization in the NPPES registry on June 11, 2020. The provider is doing business as Brookside Place.

Where is Redmond Alf, LLC located?

Redmond Alf, LLC is located at 3550 SW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 504-1600.

What is Redmond Alf, LLC's specialty?

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

Does Redmond Alf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2194718) 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 Redmond 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.