Creekside Home Care II, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

530HHA-23 Issued in NV

Legal business name

CREEKSIDE HOME CARE II, LLC

Doing business as

Compassus Home Health Las Vegas

Practice address

3530 E Flamingo Rd
Suite 270
Las Vegas, NV 89121-5069

Phone

(702) 696-9229

Fax

(702) 696-1003

NPI assigned

May 7, 2010

Last updated

Jan 30, 2017By 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. Anthony James

Title

Cfo

Phone

(615) 425-5418

Specialties & licenses 1

Addresses

Other names 1

• Compassus Home Health Las Vegas Doing business as

Locations

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1942528492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DRIVE",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD",
            "address_2": "SUITE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215069",
            "telephone_number": "702-696-9229",
            "fax_number": "702-696-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE HOME CARE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-425-5418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "530HHA-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus Home Health Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.