Active NPI
Senior Housing Investors II, LLC
Doing business as Maple Creek of Lakewood
- Assisted Living Facility
- Lakewood, WA
National Provider Identifier
1457736399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2337
- Legal business name
- SENIOR HOUSING INVESTORS II, LLC
- Doing business as
- Maple Creek of Lakewood
- Practice address
- 10420 Gravelly Lake Dr SW
Lakewood, WA 98499-5041 - Phone
- (253) 588-0227
- Fax
- (252) 581-7543
- NPI assigned
- Jul 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl Allen Mason
- Title
- Asset Manager
- Phone
- (503) 826-5190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2337 | WA | Primary |
Addresses
Primary practice location
10420 Gravelly Lake Dr SW
Lakewood, WA 98499-5041
Mailing address
25260 SW Parkway Ave
Wilsonville, OR 97070-6627
Phone (503) 826-5190
Other names 1
- Maple Creek of Lakewood
National Provider Directory
National Provider DirectoryLocations
25260 SW Parkway Ave
Wilsonville, OR 97070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437436800000",
"number": "1457736399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25260 SW PARKWAY AVE",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970706627",
"telephone_number": "503-826-5190",
"fax_number": "503-855-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 GRAVELLY LAKE DR SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984995041",
"telephone_number": "253-588-0227",
"fax_number": "252-581-7543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HOUSING INVESTORS II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "ASSET MANAGER",
"authorized_official_telephone_number": "503-826-5190",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "WA",
"license": "2337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maple Creek of Lakewood",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.