Meadowbrook Place Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOWBROOK PLACE OPERATIONS, LLC

Practice address

4000 Cedar St
Baker City, OR 97814-1649

Phone

(541) 523-6333

NPI assigned

Jun 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Verdieck

Title

Evp Finance & Administration

Phone

(503) 255-4647

Specialties & licenses 1

Addresses

Other names 1

• Meadowbrook Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1699390997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159502",
            "telephone_number": "503-255-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CEDAR ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141649",
            "telephone_number": "541-523-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK PLACE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "VERDIECK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EVP FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "503-255-4647"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pixie McKnight
• Victoria Jean McLean
• Gary L McOmber, PHARMD, BCPS
• Kristy Suzann McPherson
• Michael Hugh McQueen, MD
• Memory Lane Homes, LLC
• Leecille M Mertz, LPN
• Leah Michel, LAC, MSOM
• Andrew Micka
• Kathleen Mills

• Assisted Living Facility in Baker City, OR
• Providers in Baker City, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.