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CREEKSIDE VILLAGE ASSISTED LIVING, LLC
NPI 1689418535
Assisted Living Facility in Fort Collins, CO

Active since June 24, 2024
1000 E STUART ST, FORT COLLINS, CO 80525(970) 494-3253 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Creekside Village Assisted Living, Llc NPPES

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

CREEKSIDE VILLAGE ASSISTED LIVING, LLC (NPI 1689418535) is a healthcare organization registered as an assisted living facility in Fort Collins, Colorado and active in the NPI registry since June 2024. The organization lists Wendy Anderson, Corporate Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1689418535
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREEKSIDE VILLAGE ASSISTED LIVING, LLC
Location Address1000 E STUART STFort Collins, CO 80525-1555
Mailing Address947 S 500 E Ste 105American Fork, UT 84003-3392 · (385) 492-0194
Phone(970) 494-3253
Organization SubpartNo
Authorized OfficialWendy AndersonCorporate Business Office Director · (385) 498-0194
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1689418535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1000 E STUART ST, Fort Collins, CO 80525
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Other Providers at the Same Location NPPES 17

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

BRANT MICHAEL WILLOUGHBY C.O.T.A.
Occupational Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 482-5712
SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC
Assisted Living Facility
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 482-5712
GEORGE ANDERSON PURCELLEY PT
Physical Therapist (Geriatrics)
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 576-6455
KELLY SHIELDS MS, OTR/L
Occupational Therapist (Gerontology)
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 482-5712
MORRINE MARY MOODY CCCSLP
Speech-Language Pathologist
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 482-5712
AMANDA L CARMONA
Occupational Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 482-5712
BAILEY BREANN KNOX PTA
Physical Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (806) 881-3940
CHRISTINE RENEE RUTLEDGE
Occupational Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Larimer County (970) 482-5712

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 Creekside Village Assisted Living, LLC's NPI number?

The NPI number for Creekside Village Assisted Living, LLC is 1689418535. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Creekside Village Assisted Living, LLC located?

Creekside Village Assisted Living, LLC is located at 1000 E Stuart St, Fort Collins, CO 80525. The listed phone number is (970) 494-3253.

What is Creekside Village Assisted Living, 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 Creekside Village Assisted Living, LLC was last updated on June 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.