CREEKSIDE HOME HEALTH INC. (NPI# 1114098910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114098910 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE HOME HEALTH INC. |
| Practice Address |
3686 Washington Pkwy Idaho Falls ID 83404-7573 |
| Mailing Address |
Po Box 65788 Salt Lake City UT 84165-0788 |
| Practice Telephone | 8017475500 |
| Practice Fax Number | 8017475592 |
| Mailing Telephone | 8017475500 |
| Mailing Fax Number | 8017475592 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT H BREINHOLT (PRESIDENT) |
| Authorized Official Telephone | 8017475500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
3686 WASHINGTON PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700167400 | Encompass Home Health of The West, LLC | Home Health | 3686 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768262 | Cloudnine Home Care LLC | Home Health | 482 Constitution Way Ste 110, Idaho Falls, ID 83402-3568 | 2019-09-10 |
| 1477111276 | Perfection Home Health LLC | Home Health | 1190 Quigley St Ste A, Idaho Falls, ID 83402-1812 | 2019-06-05 |
| 1023409679 | Abode H4h, LLC | Home Health | 503 S Woodruff Ave, Idaho Falls, ID 83401-5200 | 2015-02-17 |
| 1841543733 | Signature Homecare LLC | Home Health | 2052 Jennie Lee Dr, Idaho Falls, ID 83404-7000 | 2012-10-17 |
| 1093037178 | Hands of Hope Home Health, Inc | Home Health | 1379 E 17th St, Idaho Falls, ID 83404-6235 | 2010-02-17 |
| 1518980770 | Onesource Hhc LLC | Home Health | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | 2006-07-26 |
| 1558368233 | Western Visiting Nurses, Inc. | Home Health | 1400 Benton St, Idaho Falls, ID 83401-4253 | 2005-07-07 |
| 1922627173 | Hw Group LLC | Home Health | 1970 E 17th St Ste 201, Idaho Falls, ID 83404-8048 | 2020-04-08 |
| 1396372041 | Just 4 Kids Home Health | Home Health | 2431 Jafer Ct, Idaho Falls, ID 83404-5587 | 2020-03-24 |
| 1962985945 | Whole Hearted Birth, LLC | Home Health | 9732 N 70th E, Idaho Falls, ID 83401-5566 | 2018-09-14 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.