Creekside Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

3229HPC-7 Issued in NV

Legal business name

CREEKSIDE HOSPICE, INC

Doing business as

Creekside Hospice

Practice address

3675 Pecos McLeod
Suite 900
Las Vegas, NV 89121-3815

Phone

(702) 650-7669

Fax

(702) 650-7670

NPI assigned

Mar 28, 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

Mrs. Kristy Dennerlein, RN, BSN, MBNA

Title

Administrator

Phone

(702) 650-7669

Specialties & licenses 1

Addresses

Other names 1

• Creekside Hospice Doing business as

Locations

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376504779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 PECOS MCLEOD",
            "address_2": "SUITE 900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213815",
            "telephone_number": "702-650-7669",
            "fax_number": "702-650-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 PECOS MCLEOD",
            "address_2": "SUITE 900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213815",
            "telephone_number": "702-650-7669",
            "fax_number": "702-650-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNERLEIN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-650-7669",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MBNA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "3229HPC-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luther Creed, MD
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• Creekside Home Health Care
• Creekside Hospice II, LLC (Creekside Hospice)
• Creekway Healthcare LLC
• Creekway Homehealth Solutions LLC
• Kristin Creel
• Lidia Creel
• Madison Victoria Creel

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• 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.