Organization Active NPI

Creekway Homehealth Solutions LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1033812946
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CREEKWAY HOMEHEALTH SOLUTIONS LLC
Practice address
6276 Spring Mountain Rd Ste 100
Las Vegas, NV 89146-8869
Phone
(725) 206-5572
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Stella Urbina
Title
Administrator
Phone
(702) 527-9452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6276 Spring Mountain Rd Ste 100
Las Vegas, NV 89146-8869

Mailing address

6276 Spring Mountain Rd Ste 100
Las Vegas, NV 89146-8869
Phone (725) 206-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005001250 NV Part A Provider - Home Health Agency 9830544204 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297361

Legal name
CREEKWAY HOMEHEALTH SOLUTIONS, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 4, 2024
Last certification
Nov 15, 2024
Organization structure
LLCProprietary
Incorporated
Jul 6, 2021 in NV
Enrollment address
6276 Spring Mountain Rd
Ste 100
Las Vegas, NV 89146-8869

Care Compare: Home health agency

Medicare Care Compare
Listed as
Creekway Homehealth Solutions, LLCCCN 297361
Ownership
-
Certified
Dec 4, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2310387Creekway Homehealth Solutions, LLC6276 Spring Mountain Rd Ste 100, Las Vegas, NV 89146Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stella Urbina Individual Contracted Managing Employee Jul 6, 2021 100%
5% Or Greater Direct Ownership Interest Jul 6, 2021 100%
5% Or Greater Indirect Ownership Interest Jul 6, 2021 100%
5% Or Greater Mortgage Interest Jul 6, 2021 100%
5% Or Greater Security Interest Jul 6, 2021 100%
General Partnership Interest Jul 6, 2021 100%
Limited Partnership Interest Jul 6, 2021 100%
Corporate Officer Jul 6, 2021 100%
Corporate Director Jul 6, 2021 100%
W-2 Managing Employee Jul 6, 2021 100%
Operational/Managerial Control Jul 6, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1033812946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 SPRING MOUNTAIN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468869",
            "telephone_number": "725-206-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 SPRING MOUNTAIN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468869",
            "telephone_number": "725-206-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKWAY HOMEHEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-527-9452",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.