Kissimmee SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KISSIMMEE SNF LLC

Doing business as

Creekstone Health and Wellness

Practice address

1500 Southgate Dr
Kissimmee, FL 34746-6593

Phone

(407) 846-7201

NPI assigned

Apr 27, 2026

Organization subpart

No

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

Authorized official

Name

Rob Manela

Title

Authorized Official

Phone

(954) 774-7412

Specialties & licenses 1

Addresses

Other names 1

• Creekstone Health and Wellness Doing business as

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1326984873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466593",
            "telephone_number": "407-846-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "MANELA",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-774-7412"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekstone Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kissimmee Opco, LLC
• Kissimmee Physician'S Clinic
• Kissimmee Primary Care Anti-Aging Wellness and Weight Loss Center PA
• Kissimmee Primary Care Anti-Aging Wellness and Weightloss Center PA
• Kissimmee Primary Care/ Anti-Aging Wellness and Weight Loss Center PA
• Kissimmee Spine and Rehabilitation Center, LLC
• Kissimmee Surgicare LTD
• Kissimmee Urgent Care
• Annelise Kathleen Kistner
• Mallory Robichaux Klein

• Skilled Nursing Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.