Organization Active NPI

Cherry Creek Senior Care, LLC

  • Assisted Living Facility
  • Wichita, KS
National Provider Identifier
1295975936
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N087043 Issued in KS
Legal business name
CHERRY CREEK SENIOR CARE, LLC
Practice address
8200 E Pawnee St
Wichita, KS 67207-5448
Phone
(316) 684-0905
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Andrea Law
Title
Accounting Manger
Phone
(316) 733-2645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N087043 KS Primary

Addresses

Primary practice location

8200 E Pawnee St
Wichita, KS 67207-5448

Mailing address

PO Box 906
D
Andover, KS 67002-0906
Phone (316) 733-2645

Other names 1

  • Carrington at Cherry Creek Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2076303Carrington at Cherry Creek8200 East Pawnee, Wichita, KS 67207Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1295975936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "address_2": "D",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670020906",
            "telephone_number": "316-733-2645",
            "fax_number": "316-733-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E PAWNEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075448",
            "telephone_number": "316-684-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ACCOUNTING MANGER",
        "authorized_official_telephone_number": "316-733-2645"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N087043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrington at Cherry Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.