Creekside Place, Inc.

LBN: Creekside Place, Inc.
Creekside Place, Inc. is an health care organization with primary practice located at 7251 N Briarcliff Knoll Dr , West Bloomfield MI 48322-4049. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Creekside Place, Inc. can be contacted via phone (877) 327-5484, or through Borso, Puja via phone (248) 346-4515.

Contact Information

Primary practice address
7251 N Briarcliff Knoll Dr West Bloomfield MI 48322-4049
Fax: (248) 250-5999
Website:
Authorized official contact:
Name: Borso, Puja OTR/L, CLT, CAPS

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1194343046
LBN Legal business name Creekside Place, Inc.
DBA Doing business as
Authorized official Borso, Puja OTR/L, CLT, CAPS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2020
Last updated Jul 8th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194343046 NPPES
Michigan Other AS630397523 LICENSE NUMBER

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