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

Active since October 30, 2024CLIA 50D2336336 · Waiver
10420 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(253) 588-0227 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Creek Senior Living, Llc NPPES

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

MAPLE CREEK SENIOR LIVING, LLC (NPI 1518789486) is a healthcare organization registered as an assisted living facility in Lakewood, Washington and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Janelle Ryan, Director Of Accounting Services, as its authorized official.

NPPES Registry Identity

NPI1518789486
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAPLE CREEK SENIOR LIVING, LLC
Location Address10420 GRAVELLY LAKE DR SWLakewood, WA 98499-5041
Mailing Address11939 Nw Pioneer RdSeabeck, WA 98380-9008 · (360) 509-4886
Phone(253) 588-0227
Organization SubpartNo
Authorized OfficialJanelle RyanDirector Of Accounting Services · (253) 222-0658
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1518789486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
10420 GRAVELLY LAKE DR SW, Lakewood, WA 98499
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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 50D2336336

Maple Creek Senior Living, LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2336336
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChristina Andrews
Laboratory Phone(253) 588-0227
Laboratory LocationMaple Creek Senior Living, LLC10420 Gravelly Lake Drive Southwest, Tacoma, WA 98499
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MAPLE CREEK VENTURE, LLC
Assisted Living Facility
10420 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 588-0227
SENIOR HOUSING INVESTORS II, LLC
Assisted Living Facility
10420 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 588-0227

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 Maple Creek Senior Living, LLC's NPI number?

The NPI number for Maple Creek Senior Living, LLC is 1518789486. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Maple Creek Senior Living, LLC located?

Maple Creek Senior Living, LLC is located at 10420 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (253) 588-0227.

What is Maple Creek Senior Living, LLC's specialty?

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

Does Maple Creek Senior Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2336336) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maple Creek Senior Living, LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.