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CREEKSIDE ASSISTED LIVING LLC
NPI 1982988226
Assisted Living Facility in Fayetteville, NC

Active since October 05, 2011
1124 CEDAR CREEK RD, FAYETTEVILLE, NC 28312(910) 323-8212(910) 323-2159 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Assisted Living Llc NPPES

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

CREEKSIDE ASSISTED LIVING LLC (NPI 1982988226) is a healthcare organization registered as an assisted living facility in Fayetteville, North Carolina and active in the NPI registry since October 2011. The organization lists Riley S Evans, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1982988226
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREEKSIDE ASSISTED LIVING LLC
Location Address1124 CEDAR CREEK RDFayetteville, NC 28312-6544
Mailing AddressPo Box 847Clarkton, NC 28433-0847 · (910) 648-6887 · Fax (910) 648-6888
Phone(910) 323-8212
Fax(910) 323-2159
Organization SubpartNo
Authorized OfficialRiley S EvansManaging Member · (910) 648-6887
Enumeration DateOctober 5, 2011
✔ NPI 1982988226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-026-059
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.
1124 CEDAR CREEK RD, Fayetteville, NC 28312
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Other Providers at the Same Location NPPES 3

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

CEDAR CREEK ASSISTED LIVING, LLC
Assisted Living Facility
1124 CEDAR CREEK RD
FAYETTEVILLE, NC 28312
Cumberland County (910) 323-8218
CUMBERLAND VILLAGE ASSISTED LIVING, LLC
Assisted Living Facility
1124 CEDAR CREEK RD
FAYETTEVILLE, NC 28312
Cumberland County (910) 323-8212
CUMBERLAND CREEK ASSISTED LIVING INC.
Custodial Care Facility (Adult Care Home)
1124 CEDAR CREEK RD
FAYETTEVILLE, NC 28312
Cumberland County (910) 323-8212

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 Assisted Living LLC's NPI number?

The NPI number for Creekside Assisted Living LLC is 1982988226. It was assigned to this organization in the NPPES registry on October 5, 2011.

Where is Creekside Assisted Living LLC located?

Creekside Assisted Living LLC is located at 1124 Cedar Creek Rd, Fayetteville, NC 28312. The listed phone number is (910) 323-8212.

What is Creekside 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 Assisted Living LLC was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.