Creek View Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREEK VIEW HOME HEALTH LLC

Practice address

4657 E Cotton Gin Loop Ste 102a
Phoenix, AZ 85040-8830

Phone

(602) 603-5161

Fax

(602) 612-2272

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Basilio

Title

Officer

Phone

(702) 576-1313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Home health agency certification: CCN 037827

Legal name

CREEK VIEW HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 30, 2023

Last certification

Mar 30, 2023

Organization structure

LLCProprietary

Incorporated

Dec 28, 2021 in AZ

Enrollment address

4657 E Cotton Gin Loop
Ste 102a
Phoenix, AZ 85040-8830

Listed as

Creek View Home Health LLCCCN 037827

Ownership

-

Certified

Mar 30, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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, Corporate Director

  CMS ownership

Affiliated clinicians 2

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

• Joshua Luke Adams, PA-C

  • Physician Assistant
  • Mesa, AZ
  • NPI 1033734686

  Home health agency

  Care Compare affiliation
• Ajitha Nair, MSN/FNP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1558801522

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1144977968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95584",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891935584",
            "telephone_number": "602-603-5161",
            "fax_number": "602-612-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 E COTTON GIN LOOP STE 102A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408830",
            "telephone_number": "602-603-5161",
            "fax_number": "602-612-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK VIEW HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BASILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "702-576-1313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Quiescence, LLC
• Credentialing and Billing LLC
• David Macnaughton Creech, MD
• Kristi Creech, R.N.
• Megan Creech, ED.M NCSP
• Creek View Hospice LLC
• Creighton School District
• Patricia M Crellin, M.D.
• Echelle Crenshaw, FNP-C
• Creo Therapy Solutions

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.