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NAVAJO LAKE, LLC
NPI 1083579791
Assisted Living Facility in Madras, OR

Active since December 16, 2025
175 NE 16TH ST, MADRAS, OR 97741(541) 475-2273 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Navajo Lake, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAVAJO LAKE, LLC (NPI 1083579791), doing business as Willow Creek Assisted Living, is a healthcare organization registered as an assisted living facility in Madras, Oregon and active in the NPI registry since December 2025. The organization lists Ryan Williams, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1083579791
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNAVAJO LAKE, LLC
Location Address175 NE 16TH STMadras, OR 97741-2219
Mailing Address599 Menlo Dr Ste 200Rocklin, CA 95765-3725
Phone(541) 475-2273
Organization SubpartNo
Authorized OfficialRyan WilliamsManaging Member · (916) 299-7030
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1083579791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
175 NE 16TH ST, Madras, OR 97741
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Other Names 1

Doing Business AsWillow Creek Assisted Living

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST CASCADE RETIREMENT COMMUNITY, LLC
Skilled Nursing Facility
175 NE 16TH ST
MADRAS, OR 97741
Jefferson County (541) 475-2273
ASHLEY ELLERS OTR/L
Occupational Therapist
175 NE 16TH ST
MADRAS, OR 97741
Jefferson County (541) 475-2273
SAND HOLLOW, LLC
Skilled Nursing Facility
175 NE 16TH ST
MADRAS, OR 97741
Jefferson County (541) 475-2273
ANIMAS RIVER, LLC
Alzheimer Center (Dementia Center)
175 NE 16TH ST
MADRAS, OR 97741
Jefferson County (541) 475-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Navajo Lake, LLC's NPI number?

The NPI number for Navajo Lake, LLC is 1083579791. It was assigned to this organization in the NPPES registry on December 16, 2025. The provider is doing business as Willow Creek Assisted Living.

Where is Navajo Lake, LLC located?

Navajo Lake, LLC is located at 175 NE 16th St, Madras, OR 97741. The listed phone number is (541) 475-2273.

What is Navajo Lake, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Navajo Lake, LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.