WILDCREEK HEALTHCARE, INC. (NPI# 1407123417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407123417 |
| Entity Type | Organization |
| Organization Name | WILDCREEK HEALTHCARE, INC. |
| Other Organization Name | ROSEWOOD REHABILITATION CENTER |
| Practice Address |
2045 Silverada Blvd Reno NV 89512-2051 |
| Practice Telephone | 7753593161 |
| Practice Fax Number | 7753312878 |
| Mailing Telephone | 7753593161 |
| Mailing Fax Number | 7753312878 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | SOON BURNAM (TREASURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NV | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rosewood Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
2045 SILVERADA BLVD |
| City | RENO |
| State | NV |
| Zip Code | 89512-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669572723 | Lkm Healthcare LLC | Skilled Nursing Facility | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2006-09-25 |
| 1851875801 | Vision Consultants | Optometrist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2018-09-15 |
| 1841608445 | Kristen Weaver | Occupational Therapist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2014-07-27 |
| 1063760221 | Eric Gerken | Occupational Therapist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2012-08-20 |
| 1063725240 | Margaret Ann Batzloff | Occupational Therapist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2010-07-16 |
| 1811200298 | Thomas Bishop | Speech-Language Pathologist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2010-07-14 |
| 1346553708 | Harold Andoetoe | Occupational Therapist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2010-07-14 |
| 1952612095 | Maria Nicole Martino | Occupational Therapist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2010-06-23 |
| 1417278052 | Paul Michael Gemperle | Physical Therapy Assistant | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2010-06-17 |
| 1598086175 | Julie Scheydt Johnson | Physical Therapist | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2010-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255708889 | Ahc of Reno LLC | Skilled Nursing Facility | 961 Kuenzli St, Reno, NV 89502-1160 | 2015-08-31 |
| 1285800482 | Joe D. Johnson | Skilled Nursing Facility | 180 Quarterhorse Cir, Reno, NV 89508-9511 | 2008-05-07 |
| 1669572723 | Lkm Healthcare LLC | Skilled Nursing Facility | 2045 Silverada Blvd, Reno, NV 89512-2051 | 2006-09-25 |
| 1770690877 | Regent Care Operations, Limited Partnership | Skilled Nursing Facility | 555 Hammill Ln, Reno, NV 89511-1004 | 2006-08-24 |
| 1912949504 | Manor Care of Reno Nv LLC | Skilled Nursing Facility | 3101 Plumas St, Reno, NV 89509-4515 | 2006-06-11 |
| 1821035247 | Wedgwood Group LLC | Skilled Nursing Facility | 445 Holcomb Ranch Ln, Reno, NV 89511-5435 | 2006-06-02 |
| 1700357308 | Revive Health Senior Care LLC | Skilled Nursing Facility | 555 Hammill Ln, Reno, NV 89511-1004 | 2018-12-09 |
| 1639676943 | Plumas Health Care LLC | Skilled Nursing Facility | 3101 Plumas St, Reno, NV 89509 | 2018-04-12 |
| 1821536707 | Reno Health Care LLC | Skilled Nursing Facility | 6225 Sharlands Ave, Reno, NV 89523-2785 | 2017-02-10 |
| 1235581901 | Reno Vamc | Skilled Nursing Facility | 975 Kirman Ave, Reno, NV 89502-0993 | 2016-07-06 |
| Find all providers in RENO | ||||
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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.