Big Red, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BIG RED, LLC

Doing business as

Big Red, LLC
Brookside Place
Rackleff Place

Practice address

15900 SE 82ND Dr
Clackamas, OR 97015-9502

Phone

(503) 255-4647

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

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 and Administration

Phone

(503) 255-4647

Specialties & licenses 1

Addresses

Other names 3

• Big Red, LLC Doing business as
• Brookside Place Doing business as
• Rackleff Place Doing business as

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1891311098",
    "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": "15900 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159502",
            "telephone_number": "503-255-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 SW Canal Blvd",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977568947",
            "country_code": "US",
            "telephone_number": "541-504-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 SW 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "OR",
            "postal_code": "970134051",
            "country_code": "US",
            "telephone_number": "503-266-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIG RED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "VERDIECK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EVP FINANCE AND ADMINISTRATION",
        "authorized_official_telephone_number": "503-255-4647"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Red, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rackleff Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Lynette Best, L.P.C.
• Jay Gordon Betts, D.O.
• Lara Bickford, MD
• Maribel Del Carmen Bieberach, MD
• Madison Bieker
• Julie Bigler, CRNA
• Edward Birnbaum, RRT
• Nourolhoda Birouti, MD
• James M Bisio, MD
• Andrew Joseph Bitney, DO

• Assisted Living Facility in Clackamas, OR
• Providers in Clackamas, 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 23, 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.