Organization · Type 2 NPI

Big Red, LLC

Assisted Living Facility · Clackamas, OR

NPI number 1891311098 Active

Practice location

15900 SE 82nd Dr
Clackamas, OR 97015-9502

Call (503) 255-4647 Map

Other practice locations

3550 SW Canal Blvd, Redmond, OR 97756-8947 · (541) 504-1600
655 SW 13th Ave, Canby, OR 97013-4051 · (503) 266-9555

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

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.

Another provider at this address

Oregon Alf, LLCAssisted Living Facility Clackamas, OR NPI 1952927121

Other assisted living facility providers in Clackamas

See all in Clackamas →

NPI record

NPI: 1891311098
Entity type: Organization (Type 2)
Issued: Jun 23, 2020
Last updated: Jun 23, 2020
Status: Active

Other names

Big Red, LLC · doing business as
Brookside Place · doing business as
Rackleff Place · doing business as

Authorized official

Peter Verdieck
EVP Finance and Administration
(503) 255-4647

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891311098

Big Red, LLC's National Provider Identifier is 1891311098, issued on Jun 23, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clackamas, OR. The record was last updated on Jun 23, 2020.