CEDAR CREEK
NPI 1104262302
Assisted Living Facility in Crystal River, FL
About Cedar Creek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CEDAR CREEK (NPI 1104262302) is a healthcare organization registered as an assisted living facility in Crystal River, Florida and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Heather Stevens, Assistant Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1006833
Cedar Creek At Kings Bay Inc · Crystal River, FLFrequently 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 Cedar Creek At Kings Bay, Inc's NPI number?
The NPI number for Cedar Creek At Kings Bay, Inc is 1104262302. It was assigned to this organization in the NPPES registry on May 14, 2013. The provider is doing business as Cedar Creek.
Where is Cedar Creek At Kings Bay, Inc located?
Cedar Creek At Kings Bay, Inc is located at 231 NW Hwy 19, Crystal River, FL 34428. The listed phone number is (352) 564-2446.
What is Cedar Creek At Kings Bay, Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Cedar Creek At Kings Bay, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1006833) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cedar Creek At Kings Bay, Inc was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Cedar Creek · NPI 1104262302
Assisted Living Facility organization in Crystal River, Florida. Organization record, active in the CMS NPPES registry since May 14, 2013.
## Identity
- **NPI:** 1104262302 (Entity type: Organization)
- **Enumerated:** May 14, 2013
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Cedar Creek At Kings Bay, Inc
- **Organization subpart:** No
- **Authorized official:** Heather Stevens, ASSISTANT DIRECTOR
## Practice location
- **Address:** 231 NW HWY 19, Crystal River, FL 34428
- **Phone:** (352) 564-2446
## Record status
- **NPPES last updated:** May 14, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104262302) · Data from the CMS NPPES public registry.