WILLOW CREEK ASSISTED LIVING
NPI 1710132345
Clinic/Center - Developmental Disabilities in Willow, AK

Q: What is Willow Creek Assisted Living's NPI number?

The NPI number for Willow Creek Assisted Living is 1710132345. It was assigned to this organization in the NPPES registry on November 24, 2008.

Q: What is Willow Creek Assisted Living's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since November 24, 2008

23281 W. WILLOW FISHHOK RD, WILLOW, AK 99688(907) 495-2999(907) 495-9199 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willow Creek Assisted Living NPPES

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

WILLOW CREEK ASSISTED LIVING (NPI 1710132345) is a healthcare organization registered as a developmental disabilities in Willow, Alaska and active in the NPI registry since November 2008. The organization lists Roberta Ellen Sandoval, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710132345

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameWILLOW CREEK ASSISTED LIVING

Location Address23281 W. WILLOW FISHHOK RDWillow, AK 99688-0558

Mailing Address23281 W. Willow Fishook Rd, Po Box 558Willow, AK 99688-0558 · (907) 495-2999 · Fax (907) 495-9199

Phone(907) 495-2999

Fax(907) 495-9199

Organization SubpartNo

Authorized OfficialRoberta Ellen SandovalAdministrator · (907) 495-2999

Enumeration DateNovember 24, 2008

✔ NPI 1710132345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in AK · 100142

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

23281 W. WILLOW FISHHOK RD, Willow, AK 99688

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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 Willow Creek Assisted Living's NPI number?

The NPI number for Willow Creek Assisted Living is 1710132345. It was assigned to this organization in the NPPES registry on November 24, 2008.

Where is Willow Creek Assisted Living located?

Willow Creek Assisted Living is located at 23281 W. Willow Fishhok Rd, Willow, AK 99688. The listed phone number is (907) 495-2999.

What is Willow Creek Assisted Living's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Willow Creek Assisted Living was last updated on November 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.