Creek View Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREEK VIEW HOME HEALTH LLC

Practice address

2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208

Phone

(725) 251-3854

Fax

(725) 780-1114

NPI assigned

Oct 1, 2020

Organization subpart

Yes

Parent organization

NOBLE HEALTH CARE LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Basilio, RN

Title

Administrator

Phone

(702) 576-1313

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Basilio Other name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297311

Legal name

CREEK VIEW HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 30, 2021

Last certification

Sep 16, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 25, 2020 in NV

Enrollment address

2950 E Flamingo Rd
Ste H
Las Vegas, NV 89121-5208

Listed as

Creek View Home Health LLCCCN 297311

Ownership

Proprietary

Certified

Sep 30, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jordana Noreen Cheta, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1306191994

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Christian Hospice, LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1083121453

  Genesis Management Services LLC

  CMS ownership
• Jazmine Enterprises LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1235533597

  Genesis Management Services LLC

  CMS ownership

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1114524311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "725-251-3854",
            "fax_number": "725-780-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "725-251-3854",
            "fax_number": "725-780-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK VIEW HOME HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HEALTH CARE LLC",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "BASILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-576-1313",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Basilio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.