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PETERS CREEK
NPI 1356769293
Assisted Living Facility in Redmond, WA

Active since March 28, 2014
14431 REDMOND WAY, REDMOND, WA 98052(425) 869-2273(425) 861-1876 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2021, Feb 13, 2017 (2 updates tracked since 2017).

About Peters Creek NPPES

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

PETERS CREEK (NPI 1356769293) is a healthcare organization registered as an assisted living facility in Redmond, Washington and active in the NPI registry since March 2014. The organization lists Don Tavolacci, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1356769293
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCRH PETERS CREEK LLC
Location Address14431 REDMOND WAYRedmond, WA 98052-4245
Mailing AddressPo Box 1410Bend, OR 97709-1410 · (541) 317-9188 · Fax (541) 389-3710
Phone(425) 869-2273
Fax(425) 861-1876
Organization SubpartYesParent: Crh Northwest
Authorized OfficialDon TavolacciManaging Member · (541) 317-9188
Enumeration DateMarch 28, 2014
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1356769293 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 WA · 2245
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.
14431 REDMOND WAY, Redmond, WA 98052
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Other Names 1

Doing Business AsPeters Creek

Other Providers at the Same Location NPPES

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

ANGELEIGH GREGORIOS OTR/L
Occupational Therapist (Gerontology)
14431 REDMOND WAY
REDMOND, WA 98052
King County (425) 869-2273

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 Crh Peters Creek LLC's NPI number?

The NPI number for Crh Peters Creek LLC is 1356769293. It was assigned to this organization in the NPPES registry on March 28, 2014. The provider is doing business as Peters Creek.

Where is Crh Peters Creek LLC located?

Crh Peters Creek LLC is located at 14431 Redmond Way, Redmond, WA 98052. The listed phone number is (425) 869-2273.

What is Crh Peters Creek 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 Crh Peters Creek LLC was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.