Silver Creek Inn Assets LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SILVER CREEK INN ASSETS LLC

Doing business as

Silver Creek Leisure Living

Practice address

1670 Hwy 95
Bullhead City, AZ 86442

Phone

(928) 704-7000

Fax

(928) 763-8070

NPI assigned

Feb 21, 2007

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

Mr. Jerry David

Title

Ceo

Phone

(323) 651-2075

Specialties & licenses 1

Addresses

Other names 1

• Silver Creek Leisure Living 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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356486559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 HWY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-704-7000",
            "fax_number": "928-763-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 HWY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-704-7000",
            "fax_number": "928-763-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK INN ASSETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-651-2075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Leisure Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rupinder Singh Sekhon, MD
• Serenity Health Az PLLC
• Shaw Shahriari
• Heather A Shelton, MD
• Michael Shing, DO
• Silver Creek MRI LLC (Silver Creek Open MRI)
• Silver Creek MRI LLC
• Silver Ridge Management Inc (The Legacy Rehab & Care Center)
• Silvercreek Medical Associates, P.C.
• Ludane Tonie Simmons, M.D.

• Assisted Living Facility in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Assisted Living Facility in Arizona

• 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.
• 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.