Creekwood Place Nursing & Rehab Center, Inc.

LBN: Creekwood Place Nursing & Rehab Center, Inc.
Creekwood Place Nursing & Rehab Center, Inc. is an health care organization with primary practice located at 107 Boyles Dr , Russellville KY 42276-8838. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Creekwood Place Nursing & Rehab Center, Inc. can be contacted via phone (270) 726-9049, or through Rodman, David via phone (407) 975-3011.

Contact Information

Primary practice address
107 Boyles Dr Russellville KY 42276-8838
Phone: (270) 726-9049
Fax: (270) 726-8706
Website:
Map and Directions
Authorized official contact:
Name: Rodman, David
Phone: (407) 975-3011

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100299 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 90003948 Kentucky

Profile Details

NPI number 1619982410
LBN Legal business name Creekwood Place Nursing & Rehab Center, Inc.
DBA Doing business as
Authorized official Rodman, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 30th, 2015 - about 10 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 1619982410 NPPES
Kentucky MEDICAID 7100025410
Kentucky MEDICAID 90003948

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