NPIMap

Organization Active NPI

Creekview HC LLC

Doing business as CreekView Skilled Nursing

  • Skilled Nursing Facility
  • Pleasanton, CA
National Provider Identifier
1942620083
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550003252 Issued in CA
Legal business name
CREEKVIEW HC LLC
Doing business as
CreekView Skilled Nursing
Practice address
2900 Stoneridge Drive
Pleasanton, CA 94588-2200
Phone
(925) 201-4000
Fax
(925) 249-9435
NPI assigned
Apr 16, 2014
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Mr. Troy A. Bourne
Title
Manager
Phone
(925) 227-6802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550003252 CA Primary

Addresses

Primary practice location

2900 Stoneridge Drive
Pleasanton, CA 94588-2200

Mailing address

2900 Stoneridge Drive
Pleasanton, CA 94588-2200
Phone (925) 201-4000

Other names 1

  • CreekView Skilled Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150102001113 CA Part A Provider - Skilled Nursing Facility 5890018527 Practice locations: Pleasanton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942620083. Details of each certification follow.

Skilled nursing facility certification: CCN 555895

Legal name
CREEKVIEW HC LLC
Doing business as
CREEKVIEW SKILLED NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 17, 2015
Last certification
Feb 27, 2025
Beds
73
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 18, 2011 in DE
Enrollment address
2900 Stoneridge Dr
Pleasanton, CA 94588-8310
Nursing home name
CREEKVIEW SKILLED NURSING
Affiliated entity
CONTINUING LIFE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Creekview Skilled NursingCCN 555895 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Dec 17, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7353.4 residents per day on average
Chain
Continuing Life6 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
05D2083898Creekview HC LLC Dba Creekview Skilled Nursing2900 Stoneridge Dr, Pleasanton, CA 94588Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

Locations

2900 Stoneridge Dr
#202
Pleasanton, CA 94588

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Ezekiel Benjamin Griffin Individual Operational/Managerial ControlExecutive Director Oct 2, 2017
Troy a Bourne Individual 5% Or Greater Direct Ownership InterestManaging Member Mar 18, 2011 7.5%
Ryan W Currie Individual 5% Or Greater Direct Ownership InterestManaging Member Mar 18, 2011 7.5%
Warren Edwards Spieker Individual 5% Or Greater Indirect Ownership InterestTrustee of Managing Member Mar 18, 2011 26.52%
Patrick Donald McElroy Individual Operational/Managerial Control Mar 1, 2021
Spieker CLC LLC Organization, Menlo Park, CA LLC 5% Or Greater Direct Ownership Interest Mar 18, 2011 60%
Spieker 2010 Irrv Childrens TR Organization, Menlo Park, CA 5% Or Greater Indirect Ownership Interest Jan 1, 2010 24%
Richard David Aschenbrenner Individual 5% Or Greater Direct Ownership InterestManaging Member Mar 18, 2011 20%
Continuing Life, LLC Organization, Carlsbad, CA Consulting firm Operational/Managerial Control Apr 1, 2014
Darolyn Marie Jorgensen-Kares Individual Operational/Managerial ControlChief Operating Officer Jun 13, 2013
Spieker Living Trust Organization, Menlo Park, CA 5% Or Greater Indirect Ownership Interest Mar 18, 2011 36%

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

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 5

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": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1942620083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 STONERIDGE DRIVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882200",
            "telephone_number": "925-201-4000",
            "fax_number": "925-249-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 STONERIDGE DRIVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882200",
            "telephone_number": "925-201-4000",
            "fax_number": "925-249-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKVIEW HC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-227-6802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550003252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CreekView Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.