Apple Creek, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

APPLE CREEK, INC.

Doing business as

Apple Creek

Practice address

513 W Washington Ave
Yakima, WA 98903-1308

Phone

(509) 895-5623

Fax

(509) 207-7423

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sonya Jasmine Dawson, MA, HCA

Title

Administrator

Phone

(509) 895-5623

Specialties & licenses 1

Addresses

Other names 1

• Apple Creek Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1043810534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W WASHINGTON AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031308",
            "telephone_number": "509-895-5623",
            "fax_number": "509-207-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W WASHINGTON AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031308",
            "telephone_number": "509-895-5623",
            "fax_number": "509-207-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE CREEK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-895-5623",
        "authorized_official_credential": "MA, HCA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Yakima, WA
• Providers in Yakima, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.