Nadhan Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

47038260 Issued in CA

Legal business name

NADHAN INC.

Doing business as

CREEKSIDE REHABILITATION AND BEHAVIORAL HEALTH

Practice address

850 Sonoma Ave
Santa Rosa, CA 95404-4715

Phone

(707) 544-7750

Fax

(707) 578-2140

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Prema Thekkek

Title

Vice President

Phone

(707) 544-7750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CREEKSIDE REHABILITATION AND BEHAVIORAL HEALTH Doing business as

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1760496566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044715",
            "telephone_number": "707-544-7750",
            "fax_number": "707-578-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044715",
            "telephone_number": "707-544-7750",
            "fax_number": "707-578-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADHAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "THEKKEK",
        "authorized_official_first_name": "PREMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-544-7750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "47038260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06090J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEKSIDE REHABILITATION AND BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• N Coast Faculty Medical Group Dba Sutter Medical Group of the Redwoods
• Roger Nacouzi
• Stephanie L Nacouzi, MD
• Michelle Joy Nadalin, DPT
• Susan Marie Nadeau, RPH
• Anne Nadler
• John George Nadra
• Elizabeth Ann Naegle, RN
• Kian Nafeiy
• Pretty Nagindas

• Skilled Nursing Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.