BROOKDALE FOREST GROVE
NPI 1992861322
Assisted Living Facility in Forest Grove, OR

Active since December 29, 2006CLIA 38D2201034 · Waiver
3110 19TH AVE, FOREST GROVE, OR 97116(503) 357-3288 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookdale Forest Grove NPPES

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

BROOKDALE FOREST GROVE (NPI 1992861322) is a healthcare organization registered as an assisted living facility in Forest Grove, Oregon and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Bryan Richardson, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1992861322
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROOKDALE SENIOR LIVING COMMUNITIES, INC.
Location Address3110 19TH AVEForest Grove, OR 97116-2674
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 1992861322 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.
3110 19TH AVE, Forest Grove, OR 97116

Other Names 1

Doing Business AsBrookdale Forest Grove

Other Identifiers 1

Medicaid501980OR

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 38D2201034

Brookdale Forest Grove · Forest Grove, OR
Active · expires Nov 17, 2026
CLIA Number38D2201034
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorKarisha Summers
Laboratory Phone(503) 357-3288
Laboratory LocationBrookdale Forest Grove3110 19th Avenue, Forest Grove, OR 97116
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.

Assisted Living Facility
3110 19TH AVE
FOREST GROVE, OR 97116

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 Brookdale Senior Living Communities, Inc.'s NPI number?

The NPI number for Brookdale Senior Living Communities, Inc. is 1992861322. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Brookdale Forest Grove.

Where is Brookdale Senior Living Communities, Inc. located?

Brookdale Senior Living Communities, Inc. is located at 3110 19th Ave, Forest Grove, OR 97116. The listed phone number is (503) 357-3288.

What is Brookdale Senior Living Communities, Inc.'s specialty?

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

Does Brookdale Senior Living Communities, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2201034) is associated with this NPI, valid through November 17, 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 Brookdale Senior Living Communities, Inc. was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.