MEADOW CREEK VILLAGE ASSISTED LIVING
NPI 1265694111
Assisted Living Facility in Salem, OR

Q: What is Meadow Creek Limited Partnership's NPI number?

The NPI number for Meadow Creek Limited Partnership is 1265694111. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Meadow Creek Village Assisted Living.

Q: What is Meadow Creek Limited Partnership's specialty?

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

Active since July 01, 2008CLIA 38D2203646 · Waiver

3988 12TH ST SE, SALEM, OR 97302(503) 375-9732(503) 375-2144 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Meadow Creek Village Assisted Living NPPES

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

MEADOW CREEK VILLAGE ASSISTED LIVING (NPI 1265694111) is a healthcare organization registered as an assisted living facility in Salem, Oregon and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Elizabeth Marie Moss, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1265694111

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMEADOW CREEK LIMITED PARTNERSHIP

Location Address3988 12TH ST SESalem, OR 97302

Mailing Address200 Hawthorne Ave Se Ste A140Salem, OR 97301-5092 · (503) 588-2725 · Fax (503) 588-8653

Phone(503) 375-9732

Fax(503) 375-2144

Organization SubpartNo

Authorized OfficialElizabeth Marie MossDirector Of Risk Management · (503) 588-2725

Enumeration DateJuly 1, 2008

✔ NPI 1265694111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in OR · 1609550117

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.

3988 12TH ST SE, Salem, OR 97302

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Other Names 1

Doing Business AsMeadow Creek Village Assisted Living

Other Identifiers 1

Medicaid541693OR

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 38D2203646

Meadow Creek Village Assisted Living · Salem, OR

Active · expires Dec 3, 2026

CLIA Number38D2203646

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 4, 2024

Certificate Expiration DateDecember 3, 2026

Laboratory DirectorCarma M. Rowell

Laboratory Phone(503) 375-9732

Laboratory LocationMeadow Creek Village Assisted Living3988 12th Street Cutoff SE, Salem, OR 97302

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Meadow Creek Limited Partnership's NPI number?

The NPI number for Meadow Creek Limited Partnership is 1265694111. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Meadow Creek Village Assisted Living.

Where is Meadow Creek Limited Partnership located?

Meadow Creek Limited Partnership is located at 3988 12th St SE, Salem, OR 97302. The listed phone number is (503) 375-9732.

What is Meadow Creek Limited Partnership's specialty?

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

Does Meadow Creek Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2203646) is associated with this NPI, valid through December 3, 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 Meadow Creek Limited Partnership was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.