NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY
NPI 1831373554
Point of Service in Bothell, WA

Q: What is North Creek Retirement & Assisted Living Community LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since December 18, 2007CLIA 50D2254839 · Waiver

1907 201ST PLACE SE, BOTHELL, WA 98012(425) 483-8927(425) 488-5651 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About North Creek Retirement & Assisted Living Community NPPES

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

NORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY (NPI 1831373554) is a healthcare organization registered as a point of service in Bothell, Washington and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kelley D Hamilton, Ceo/president Of Management Company, as its authorized official.

NPPES Registry Identity

NPI1831373554

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameNORTH CREEK RETIREMENT & ASSISTED LIVING COMMUNITY LLC

Location Address1907 201ST PLACE SEBothell, WA 98012

Mailing Address3220 State St, Suite 200Salem, OR 97301-6872 · (503) 373-3125 · Fax (503) 588-3531

Phone(425) 483-8927

Fax(425) 488-5651

Organization SubpartNo

Authorized OfficialKelley D HamiltonCeo/president Of Management Company · (503) 373-3125

Enumeration DateDecember 18, 2007

✔ NPI 1831373554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

1907 201ST PLACE SE, Bothell, WA 98012

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Other Names 1

Doing Business AsNorth Creek Retirement & Assisted Living Community

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 50D2254839

North Creek Retirement And Assisted Living Community · Bothell, WA

Active · expires Apr 4, 2028

CLIA Number50D2254839

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 8, 2022

Certificate Expiration DateApril 4, 2028

Laboratory DirectorNicole Brophy

Laboratory Phone(425) 483-8927

Laboratory LocationNorth Creek Retirement And Assisted Living Community1907 201st Pl SE, Bothell, WA 98012

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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 North Creek Retirement & Assisted Living Community LLC's NPI number?

The NPI number for North Creek Retirement & Assisted Living Community LLC is 1831373554. It was assigned to this organization in the NPPES registry on December 18, 2007. The provider is doing business as North Creek Retirement & Assisted Living Community.

Where is North Creek Retirement & Assisted Living Community LLC located?

North Creek Retirement & Assisted Living Community LLC is located at 1907 201st Place SE, Bothell, WA 98012. The listed phone number is (425) 483-8927.

What is North Creek Retirement & Assisted Living Community LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does North Creek Retirement & Assisted Living Community LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254839) 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 North Creek Retirement & Assisted Living Community LLC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.