Organization Active NPI

Burnt Bridge Creek LLC

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1578418687
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BURNT BRIDGE CREEK LLC
Practice address
15302 NE 46TH St
Vancouver, WA 98682-7159
Phone
(360) 253-9626
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Valerie Jones
Title
Entity Representative
Phone
(360) 241-7786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

15302 NE 46TH St
Vancouver, WA 98682-7159

Mailing address

15006 SE Meadow Park Dr
Vancouver, WA 98683-8357

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2335246Burnt Bridge Creek Afh15302 NE 46TH St., Vancouver, WA 98682Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1578418687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15006 SE MEADOW PARK DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838357",
            "fax_number": "877-271-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15302 NE 46TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827159",
            "telephone_number": "360-253-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNT BRIDGE CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ENTITY REPRESENTATIVE",
        "authorized_official_telephone_number": "360-241-7786"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.