Creekside Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CREEKSIDE HEALTHCARE, LLC

Doing business as

Creekside Health and Rehabilitation Center

Practice address

306 W Due West Ave
Madison, TN 37115-4511

Phone

(615) 612-4499

Fax

(615) 612-4498

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. John J Sheehan Jr.

Title

President

Phone

(423) 618-1488

Specialties & licenses 1

Addresses

Other names 1

• Creekside Health and Rehabilitation Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1104250406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154511",
            "telephone_number": "615-612-4499",
            "fax_number": "615-612-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154511",
            "telephone_number": "615-612-4499",
            "fax_number": "615-612-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-618-1488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Cox
• Jessica Louise Crabtree, RN
• Caitryn Craig, RN
• Victoria Elizabeth Craig, RN, CCRN
• Robert Lewis Cranfield, M.D.
• Crossroads Urgent Care PLLC (AST -UC - Madison)
• Kyle L Crow
• Corey Crumpton
• Kayce Aleah Currin
• Kiara Curry

• Skilled Nursing Facility in Madison, TN
• Providers in Madison, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.