PENDLETON ALF LLC NPI 1770108052

NPI Information

  • NPI: 1770108052
  • Provider Name: PENDLETON ALF, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 38D2052887
  • Address: 301 SW 28TH DR
    PENDLETON, OR
    ZIP 97801
  • Phone: (541) 278-0666

Map and Directions

Get Directions

NPI Details

PENDLETON ALF, LLC is an assisted living facility in Pendleton, OR. The provider is 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. PENDLETON ALF, LLC NPI is 1770108052. The provider is registered as an organization entity type.

The provider's business location address is:

301 SW 28TH DR
PENDLETON, OR
ZIP 97801-871
Phone: (541) 278-0666

The provider's authorized official is Peter Verdieck .
The authorized official title is Evp Finance & Administration and has the following contact phone number (503) 255-4647.

The CLIA number assigned to this NPI record is 38D2052887 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI