Creekside Rehab Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CREEKSIDE REHAB OPCO, LLC

Doing business as

Creekside Health and Rehabilitation Center

Practice address

5511 Swift Rd
Sarasota, FL 34231-6209

Phone

(941) 921-7462

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Tricia Thacker

Title

Authorized Official

Phone

(813) 558-6608

Specialties & licenses 1

Addresses

Other names 1

• Creekside Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105454

Legal name

CREEKSIDE REHAB OPCO, LLC

Doing business as

CREEKSIDE HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 5, 1984

Last certification

Feb 20, 2025

Beds

178

Ownership / control type

Corporation

Multi-facility organization

Aston Health

Most recent change of ownership

May 5, 2023

Organization structure

LLCProprietary

Incorporated

Jan 4, 2023 in DE

Enrollment address

5511 Swift Rd
Sarasota, FL 34231-6209

Nursing home name

CREEKSIDE HEALTH AND REHABILITATION CENTER

Affiliated entity

ASTON HEALTH

Listed as

Creekside Health and Rehabilitation CenterCCN 105454 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 5, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

178138.6 residents per day on average

Chain

Aston Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• David Allen Butler, D.O.

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1639127996

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Myrna Zoe Bosques-Torrens, M.D.

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1063861649

  Nursing home

  Care Compare affiliation
• Charles R Hollen, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1447224845

  Nursing home

  Care Compare affiliation
• Justin Michael Scobey, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1609509686

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1952016214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316209",
            "telephone_number": "941-921-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE REHAB OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "813-558-6608"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Constance Antionette Crawford, CRNA
• Cynthia Sagrid Creal, LMHC
• Richard D. Creasy, CRNA
• Creative Counseling Solutions of Sarasota, Inc.
• Credentialing Connection, LLC
• Joseph J Creevy, MD
• Crescent Operations, LLC (Crescent Health and Rehabilitation Center)
• Shannon Marie Crespo, SLP
• Kelly Louise Crocker, OTR/L
• Jenny Phuong Crone

• Skilled Nursing Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.