Cedar Creek Pathways LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

CEDAR CREEK PATHWAYS LLC

Practice address

1332 Phay Rd
Elk, WA 99009-8669

Phone

(509) 565-5962

NPI assigned

Sep 18, 2026

Last updated

Sep 18, 2026By 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

Mr. Galen L Hansen

Title

Director

Phone

(509) 564-5962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1336051028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 PHAY RD",
            "city": "ELK",
            "state": "WA",
            "postal_code": "990098669",
            "telephone_number": "509-565-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 PHAY RD",
            "city": "ELK",
            "state": "WA",
            "postal_code": "990098669",
            "telephone_number": "509-565-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 Phay Rd",
            "address_purpose": "LOCATION",
            "city": "Elk",
            "state": "WA",
            "postal_code": "990098669",
            "country_code": "US",
            "telephone_number": "509-565-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR CREEK PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "GALEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-564-5962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Elk, WA
• Providers in Elk, WA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.