SAND HOLLOW, LLC
NPI 1720943434
Skilled Nursing Facility in Madras, OR

Active since December 16, 2025CLIA 38D1098760 · Waiver
175 NE 16TH ST, MADRAS, OR 97741(541) 475-2273 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sand Hollow, Llc NPPES

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

SAND HOLLOW, LLC (NPI 1720943434), doing business as Willow Creek Post Acute, is a healthcare organization registered as a skilled nursing facility in Madras, Oregon and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Ryan Williams, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1720943434
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSAND HOLLOW, LLC
Location Address175 NE 16TH STMadras, OR 97741-2219
Mailing Address599 Menlo Dr Ste 200Rocklin, CA 95765-3725
Organization SubpartNo
Authorized OfficialRyan WilliamsManaging Member · (916) 299-7030
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1720943434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

175 NE 16TH ST, Madras, OR 97741

Other Names 1

Doing Business AsWillow Creek Post Acute

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 38D1098760

Sand Hollow, LLC Dba Willow Creek Post Acute · Madras, OR
Active · expires Jan 24, 2027
CLIA Number38D1098760
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorLuke Ervin
Laboratory Phone(541) 475-2273
Laboratory LocationSand Hollow, LLC Dba Willow Creek Post Acute175 NE 16th St, Madras, OR 97741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
175 NE 16TH ST
MADRAS, OR 97741
Skilled Nursing Facility
175 NE 16TH ST
MADRAS, OR 97741
Assisted Living Facility
175 NE 16TH ST
MADRAS, OR 97741
Alzheimer Center (Dementia Center)
175 NE 16TH ST
MADRAS, OR 97741

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 Sand Hollow, LLC's NPI number?

The NPI number for Sand Hollow, LLC is 1720943434. It was assigned to this organization in the NPPES registry on December 16, 2025. The provider is doing business as Willow Creek Post Acute.

Where is Sand Hollow, LLC located?

Sand Hollow, LLC is located at 175 NE 16th St, Madras, OR 97741. The listed phone number is (541) 475-2273.

What is Sand Hollow, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sand Hollow, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1098760) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sand Hollow, LLC was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.