CREEKSIDE, INC (NPI# 1225546948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225546948 |
Entity Type | Organization |
Organization Name | CREEKSIDE, INC |
Other Organization Name | CREEKSIDE |
Practice Address |
503 Wical Way Grundy Center IA 50638-0000 |
Mailing Address |
420 E 11th St Cedar Falls IA 50613-3364 |
Practice Telephone | 3194042641 |
Mailing Telephone | 3192222202 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-03-17 |
Authorized Official Name | MRS. KIM SCHILLING (ADMINISTRATOR) |
Authorized Official Telephone | 3194042641 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 380114H | IA | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Creekside | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
508 G Ave, Grundy Center, IA 506381652 | 3194042641 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | CREEKSIDE, INC. | 223 W. Creekside Dr, Apt 310, Frisco, CO 80443 |
Iowa Business Entities | CREEKSIDE, INC. | 5307 Caraway Ln, Cedar Falls, IA 50613 |
Street Address |
503 WICAL WAY |
City | GRUNDY CENTER |
State | IA |
Zip Code | 50638-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942645056 | John Robert Jansen | Technician/Technologist | 613 G Ave, Grundy Center, IA 50638 | 2013-05-02 |
1184818312 | Margo Leann Eichholz | Specialist | 102 E. J. Ave, Grundy Center, IA 50638 | 2007-08-30 |
1033265228 | City of Grundy Center | Ambulance | 507 F Avenue, Grundy Center, IA 50638 | 2007-01-28 |
1770576050 | Douglas M Cooper | Orthopaedic Surgery | 201 E J Avenue, Grundy Center, IA 50638 | 2005-08-23 |
1790140234 | Sportsplus Physical Therapy Gc LLC | Clinic/Center | 606 E 1st St, Grundy Center, IA 50638 | 2015-12-29 |
1922055748 | Dennis Duane Brubaker | Dentist | 1403 G Ave, Grundy Center, IA 50638-1035 | 2006-05-27 |
1245227743 | Charles J Latendresse | Family Medicine | 1506 G Ave, Grundy Center, IA 50638-1038 | 2005-09-30 |
1407030513 | Charles J Latendresse | Family Medicine | 1506 G Ave, Grundy Center, IA 50638-1038 | 2007-12-26 |
1124402748 | Dana Christopher Schmidt | Physical Therapist | 1003 I Ave, Grundy Center, IA 50638-1144 | 2015-07-14 |
1629697362 | Endurance Physical Therapy, Pllc | Clinic/Center | 1003 I Ave, Grundy Center, IA 50638-1144 | 2020-04-13 |
Find all providers in zip 50638 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841288917 | Grundy Co Memorial Hospital Long Term Care | Nursing Facility/Intermediate Care Facility | 201 E J Ave, Grundy Center, IA 50638-2028 | 2005-10-12 |
1063878767 | Premier Estates 504, LLC | Nursing Facility/Intermediate Care Facility | 102 E J Ave, Grundy Center, IA 50638-2031 | 2016-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
Find all providers with the same taxonomy |
City | GRUNDY CENTER |
Zip Code | 50638 |
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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.