MAPLE CREEK SENIOR LIVING, LLC
NPI 1518789486
Assisted Living Facility in Lakewood, WA

NPI Status: Active since October 30, 2024

Contact Information

10420 GRAVELLY LAKE DR SW
LAKEWOOD, WA
ZIP 98499
Phone: (253) 588-0227

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 50D2336336
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About MAPLE CREEK SENIOR LIVING, LLC

This page provides the complete NPI Profile along with additional information for Maple Creek Senior Living, Llc, a provider established in Lakewood, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1518789486 assigned on October 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Janelle Ryan (Director Of Accounting Services)

NPI
1518789486
Provider Name
MAPLE CREEK SENIOR LIVING, LLC
Entity Type
Organization
Location Address
10420 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499
Location Phone
(253) 588-0227
Mailing Address
11939 NW PIONEER RD SEABECK, WA 98380
Mailing Phone
(360) 509-4886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2024
Last Update Date
10-30-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
23104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANELLE RYAN

Authorized Official Title
DIRECTOR OF ACCOUNTING SERVICES
Authorized Official Phone
(253) 222-0658

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2336336
Facility Type
Assisted Living Facility
Certificate Effective Date
December 30, 2025
Certificate Expiration Date
April 04, 2028
Laboratory Director
CHRISTINA ANDREWS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maple Creek Senior Living, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518789486, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 1 + 4 + 8 + 1 + 8 + 4 + 1 + 6 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1518789486.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
10420 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Assisted Living Facility
10420 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518789486, enumerated as an "organization" on October 30, 2024.

The provider is located at 10420 GRAVELLY LAKE DR SW LAKEWOOD, WA 98499 and the phone number is (253) 588-0227.

Assisted Living Facility with taxonomy code 310400000X.