NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY LLC (NPI# 1831373554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831373554 |
| Entity Type | Organization |
| Organization Name | NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY LLC |
| Other Organization Name | NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY |
| Practice Address |
1907 201st Place Se Bothell WA 98012 |
| Mailing Address |
3220 State St Suite 200 Salem OR 97301-6872 |
| Practice Telephone | 4254838927 |
| Practice Fax Number | 4254885651 |
| Mailing Telephone | 5033733125 |
| Mailing Fax Number | 5035883531 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | MR. KELLEY D HAMILTON (CEO/PRESIDENT OF MANAGEMENT COMPANY) |
| Authorized Official Telephone | 5033733125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | WA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| North Creek Retirement & Assisted Living Community | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY LLC | 1907 201st Pl Se, Bothell, WA 98012 |
| Washington State Corporations | NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY LLC | 1907 201st Pl Se, Bothell, WA 98012-8573 |
| Street Address |
1907 201ST PLACE SE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181232 | Tonn Physio Pllc | Point of Service | 307 S 1st St Ste B103, Mount Vernon, WA 98273-3856 | 2020-10-15 |
| 1871052696 | Pharmacare Services LLC | Point of Service | 17657 State Route 231 N, Edwall, WA 99008-9504 | 2019-03-19 |
| 1053861518 | Prestige Phlebotomy | Point of Service | 17630 30th Avenue Ct E, Tacoma, WA 98446-1113 | 2016-10-09 |
| 1205383205 | Janette Carroll, Dds, Pllc | Point of Service | 2210 Kulshan View Dr Ste 101, Mount Vernon, WA 98273-2779 | 2016-09-07 |
| 1316491244 | Gregory B Mortensen Dds | Point of Service | 14645 Bel Red Rd Ste 100, Bellevue, WA 98007-3929 | 2016-08-09 |
| 1336599513 | Kings Royal Care | Point of Service | 8141 Lopez Dr, Clinton, WA 98236-9236 | 2016-06-17 |
| 1568834703 | Internal Acceptance, Pllc | Point of Service | 60 Nw Boistfort St, Chehalis, WA 98532-2003 | 2015-10-28 |
| 1184002081 | Melinda Kay Morrison | Point of Service | 3310 Sw 327th Pl, Federal Way, WA 98023-2759 | 2015-05-12 |
| 1235517236 | Lora's Massage & Aromatherapy Services | Point of Service | 12211 Edgewood Ave Sw, Apt.# 12, Lakewood, WA 98498-1201 | 2015-05-11 |
| 1649657750 | Alicia Koch-johnson | Point of Service | 14826 42nd Ave S, Tukwila, WA 98168-4436 | 2015-04-28 |
| 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.