Organization Active NPI

Cedar Creek Living LLC

  • Assisted Living Facility
  • Forest City, NC
National Provider Identifier
1366087744
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CEDAR CREEK LIVING LLC
Practice address
2270 Oakland Rd
Forest City, NC 28043-6921
Phone
(828) 229-3087
Fax
(828) 229-3099
NPI assigned
Nov 9, 2019
Last updated
Nov 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2019

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

Authorized official

Name
Mr. Stephen Walker
Title
Administrator
Phone
(828) 429-1640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2270 Oakland Rd
Forest City, NC 28043-6921

Mailing address

2270 Oakland Rd
Forest City, NC 28043-6921
Phone (828) 229-3087

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 8282293099 Other
Other URL 8282293099 Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573257600000",
    "number": "1366087744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 OAKLAND RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280436921",
            "telephone_number": "828-229-3087",
            "fax_number": "828-229-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 OAKLAND RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280436921",
            "telephone_number": "828-229-3087",
            "fax_number": "828-229-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-429-1640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8282293099",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "2270 Oakland Rd",
            "city": "Forest City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280436921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8282293099",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "2270 Oakland Rd",
            "city": "Forest City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280436921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.