SUTHERLIN ALF, LLC (NPI# 1104441583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104441583 |
| Entity Type | Organization |
| Organization Name | SUTHERLIN ALF, LLC |
| Practice Address |
1465 E Central Ave Sutherlin OR 97479-9700 |
| Mailing Address |
15900 Se 82nd Dr Clackamas OR 97015-9502 |
| Practice Telephone | 5414596300 |
| Mailing Telephone | 5032554647 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | PETER VERDIECK (EVP FINANCE AND ADMINISTRATION) |
| Authorized Official Telephone | 5032554647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Applegate Place | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUTHERLIN ALF, LLC | 15900 Se 82nd Dr, Clackamas, OR 97015 |
| Street Address |
1465 E CENTRAL AVE |
| City | SUTHERLIN |
| State | OR |
| Zip Code | 97479-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1962919415 | Matt Vincent Vaccaro | Acupuncturist | 110 S. State St, Sutherlin, OR 97479 | 2018-01-05 |
| 1083972632 | Cynthia K Colean | Counselor | 112 Eagle Court, Sutherlin, OR 97479 | 2012-05-01 |
| 1245407980 | Lori Celeste Farley | Acupuncturist | 10 South State Street, Sutherlin, OR 97479 | 2008-05-12 |
| 1124215413 | Assisted Living Concepts Inc | Assisted Living Facility | 1465 East Central, Sutherlin, OR 97479 | 2007-10-01 |
| 1528106358 | James J. Hein | Dentist | 155 N. Umpqua St., Sutherlin, OR 97479 | 2007-02-02 |
| 1407910417 | Adam Wade Sarnoski | Chiropractor | 219 N. Umpqua St., Sutherlin, OR 97479 | 2006-12-21 |
| 1700982642 | Timothy S Murphy | Dentist | 317 E Central Ave, Sutherlin, OR 97479 | 2006-09-16 |
| 1407416100 | Hometown Drugs of Sutherlin, Inc. | Pharmacy | 113 E Central Ave., Sutherlin, OR 97479 | 2019-06-17 |
| 1255990982 | Matthew V. Vaccaro Lac Inc | Acupuncturist | 110 S. State St, Sutherlin, OR 97479 | 2019-06-06 |
| Find all providers in zip 97479 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124215413 | Assisted Living Concepts Inc | Assisted Living Facility | 1465 East Central, Sutherlin, OR 97479 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1790384576 | Pacifica Calaroga Terrace LLC | Assisted Living Facility | 1400 Ne 2nd Ave, Portland, OR 97232-1148 | 2020-10-22 |
| 1023629805 | Barbara Mcvay | Assisted Living Facility | 50792 Huntington Rd, La Pine, OR 97739-9041 | 2020-08-13 |
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1639797103 | Northwest Hc Oak Park Or Operator Nt-hci LLC | Assisted Living Facility | 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 | 2020-07-10 |
| 1912525486 | Northwest Hc Cascadia Village Or Operator Nt-hci LLC | Assisted Living Facility | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 | 2020-07-10 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 1881211852 | Chancellor Health Care of California Ix, Inc. | Assisted Living Facility | 14550 Se Vista Ln, Milwaukie, OR 97267-1731 | 2020-06-25 |
| 1558987768 | Greenridge Estates Operating LLC | Assisted Living Facility | 4 Greenridge Dr, Lake Oswego, OR 97035-1400 | 2020-06-23 |
| 1952927121 | Oregon Alf, LLC | Assisted Living Facility | 15900 Se 82nd Dr, Clackamas, OR 97015-9502 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.