Creek View Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-4954 Issued in AZ

Legal business name

CREEK VIEW MANOR

Practice address

19977 E Via de Arboles
Queen Creek, AZ 85242-5024

Phone

(480) 888-1182

Fax

(480) 888-1181

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Charleen Louise Hawksley

Title

Owner/Manager

Phone

(480) 888-1182

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1366639767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19977 E VIA DE ARBOLES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852425024",
            "telephone_number": "480-888-1182",
            "fax_number": "480-888-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19977 E VIA DE ARBOLES",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852425024",
            "telephone_number": "480-888-1182",
            "fax_number": "480-888-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK VIEW MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "HAWKSLEY",
        "authorized_official_first_name": "CHARLEEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-888-1182",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-4954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LONG TERM CARE",
            "identifier": "923947",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Country Clinic PC
• Kandice L Cowherd
• Robert Charles Coy II, LPN
• Jeannie Craig
• Joseph Creech, DMD
• Anastasia Cuenco
• James Cuillard
• Charles W Culler, D.M.D.
• Sabrina Marie Culp, RBT
• Heather M Curry

• Assisted Living Facility in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.