CREEKSIDE, INC


Address: 503 Wical Way, Grundy Center, IA 50638-0000
Phone: 3194042641

CREEKSIDE, INC (NPI# 1225546948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 380114H IA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Creekside Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
508 G Ave, Grundy Center, IA 506381652 3194042641

Other Data Sources

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

Office Location

Street Address 503 WICAL WAY
City GRUNDY CENTER
State IA
Zip Code 50638-0000

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GRUNDY CENTER
Zip Code 50638

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Dataset Information

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.

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