Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CEDAR CREEK HOME, LLC
NPI 1851297451
Intermediate Care Facility, Intellectual Disabilities in Deer Park, WA

Active since October 19, 2026
509 E K ST, DEER PARK, WA 99006(509) 570-8862 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cedar Creek Home, Llc NPPES

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

CEDAR CREEK HOME, LLC (NPI 1851297451) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Deer Park, Washington and active in the NPI registry since October 2026. The organization lists Amy Sue Hansen, Director, as its authorized official.

NPPES Registry Identity

NPI1851297451
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCEDAR CREEK HOME, LLC
Location Address509 E K STDeer Park, WA 99006-4012
Mailing Address509 E K StDeer Park, WA 99006-4012 · (509) 570-8862
Organization SubpartYes
Authorized OfficialAmy Sue HansenDirector · (509) 570-8862
Enumeration DateOctober 19, 2026
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1851297451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
509 E K ST, Deer Park, WA 99006

Other Names 1

Other NameCedar Creek Pathways

Other Providers at the Same Location NPPES

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

Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
509 E K ST
DEER PARK, WA 99006

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 Cedar Creek Home, LLC's NPI number?

The NPI number for Cedar Creek Home, LLC is 1851297451. It was assigned to this organization in the NPPES registry on October 19, 2026. The provider is also known as Cedar Creek Pathways.

Where is Cedar Creek Home, LLC located?

Cedar Creek Home, LLC is located at 509 E K St, Deer Park, WA 99006. The listed phone number is (509) 570-8862.

What is Cedar Creek Home, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Cedar Creek Home, LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.