Creekside Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREEKSIDE HOME HEALTH INC.

Practice address

3686 Washington Pkwy
Idaho Falls, ID 83404-7573

Phone

(801) 747-5500

Fax

(801) 747-5592

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert H Breinholt

Title

President

Phone

(801) 747-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Hans Borup, PT

  • Physical Therapist
  • Orem, UT
  • NPI 1396994612
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114098910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65788",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841650788",
            "telephone_number": "801-747-5500",
            "fax_number": "801-747-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047573",
            "telephone_number": "801-747-5500",
            "fax_number": "801-747-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREINHOLT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-747-5500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craniospinal Institute PLLC
• Sherrie Beth Crawford, LMSW
• Kalin Joseph Craynor
• CRC Anesthesia PLLC
• Creekside Counseling
• Creekside Surgery Center LLC
• Crestwood Dental
• Kilyn Diane Criddle
• Amanda Shae Crist, MOTR/L
• Jim Thomas Crittenden, OTR/L

• Home Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.