Maple Creek Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAPLE CREEK SENIOR LIVING, LLC

Practice address

10420 Gravelly Lake Dr SW
Lakewood, WA 98499-5041

Phone

(253) 588-0227

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Janelle Ryan

Title

Director of Accounting Services

Phone

(253) 222-0658

Specialties & licenses 3

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1518789486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 NW PIONEER RD",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983809008",
            "telephone_number": "360-509-4886"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE CREEK SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING SERVICES",
        "authorized_official_telephone_number": "253-222-0658"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Momanyi Mangera
• Guinevere Mangrobang
• Celia Mae Mann, COTA/L
• Timothy J. Mann, DPT
• Tina Lynn Mansfield, BA
• Maple Creek Venture, LLC
• Berkeley Maple
• Whitney Joi Mapp
• Dimitrios Maragakis
• Elm-Acacia Marano

• Assisted Living Facility in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.