NPIMap

Organization Active NPI

First Creek Healthcare, Inc.

Doing business as Creekview Health and Rehabilitation

  • Skilled Nursing Facility
  • Knoxville, TN
National Provider Identifier
1639949704
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FIRST CREEK HEALTHCARE, INC.
Doing business as
Creekview Health and Rehabilitation
Practice address
3300 N Broadway St
Knoxville, TN 37917-2733
Phone
(865) 686-7300
Fax
(865) 689-1291
NPI assigned
Jan 8, 2024
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3300 N Broadway St
Knoxville, TN 37917-2733

Mailing address

3300 N Broadway St
Knoxville, TN 37917-2733
Phone (865) 686-7300

Other names 1

  • Creekview Health and Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429003097 TN Part A Provider - Skilled Nursing Facility 4789024423 Practice locations: Knoxville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639949704. Details of each certification follow.

Skilled nursing facility certification: CCN 445297

Legal name
FIRST CREEK HEALTHCARE INC
Doing business as
CREEKVIEW HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1992
Last certification
Jun 28, 2022
Beds
91
Ownership / control type
Corporation
Multi-facility organization
Affiliate of Ensign Group
Organization structure
CorporationProprietary
Incorporated
Dec 18, 2023 in NV
Enrollment address
3300 N Broadway St
Knoxville, TN 37917-2733
Nursing home name
CREEKVIEW HEALTH AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Creekview Health and RehabilitationCCN 445297 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9175.4 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0717761First Creek Healthcare, Inc3300 North Broadway Street, Knoxville, TN 37917Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Tyler Albrechtsen Individual Corporate DirectorDirector Dec 18, 2023 100%
Operational/Managerial ControlDirector May 1, 2024 100%
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Dec 18, 2023 100%
Ami Sato Individual Corporate OfficerTreasurer Sep 9, 2024
Eric Hasemeier Individual Adp of the SNF May 1, 2024
Brent Thatcher Individual Corporate Director Dec 18, 2023
Operational/Managerial Control May 1, 2024
Rocky Top Healthcare LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Dec 18, 2023 100%
Soon Burnam Individual Corporate OfficerSecretary Dec 18, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1639949704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172733",
            "telephone_number": "865-686-7300",
            "fax_number": "865-689-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172733",
            "telephone_number": "865-686-7300",
            "fax_number": "865-689-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Creekview Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.