Pendleton Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PENDLETON ALF, LLC

Doing business as

Juniper House

Practice address

301 SW 28TH Dr
Pendleton, OR 97801-1871

Phone

(541) 278-0666

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

• Juniper House Doing business as

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": "1770108052",
    "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": "301 SW 28TH DR",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011871",
            "telephone_number": "541-278-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON ALF, 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": "Juniper House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Pendleton, OR
• Providers in Pendleton, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.