Creekside at the Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2432R Issued in OH

Legal business name

CREEKSIDE AT THE VILLAGE

Practice address

2200 Welcome PL
Columbus, OH 43209-2964

Phone

(614) 559-5500

Fax

(614) 559-5638

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nisha Hammel, MSW

Title

Executive Director

Phone

(614) 559-0304

Specialties & licenses 1

Addresses

Other names 1

• Wexner Heritage Village Other name

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720203698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WELCOME PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092964",
            "telephone_number": "614-559-5500",
            "fax_number": "614-559-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WELCOME PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092964",
            "telephone_number": "614-559-5500",
            "fax_number": "614-559-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE AT THE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMEL",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-559-0304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2432R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wexner Heritage Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Creech
• Melissa M Creech
• Ronald Bryan Creed, QMHS-BA
• Blair Elizabeth Creedle Reynolds, MD
• Joseph Andrew Creedon, PSY.D.
• Melissa Cregan, DO
• Alisha Ilene Crego, CDCA
• Christina A. Cremeans
• Brenda Susan Crenshaw I, DIETITIAN
• Dericka Tylan Crenshaw

• Assisted Living Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Assisted Living Facility in Ohio

• 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.