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CREEKSIDE AT ELFINDALE NPI 1033648274


NPI Information

NPI: 1033648274
Provider Name: CREEKSIDE AT ELFINDALE

Doing Business As: CREEKSIDE AT ELFINDALE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1601 S FORT AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 831-3828
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CREEKSIDE AT ELFINDALE is an assisted living facility in Springfield, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CREEKSIDE AT ELFINDALE NPI is 1033648274. The provider is registered as an organization entity type.
The provider Is Doing Business As Creekside At Elfindale.

The provider's business location address is:

1601 S FORT AVE
SPRINGFIELD, MO
ZIP 65807-430
Phone: (417) 831-3828
Fax: (417) 831-3899

The provider's authorized official is Jack D Vetter .
The authorized official title is Ceo and has the following contact phone number (402) 895-3932.

The enumeration date for this NPI number is 6/10/2017 and was last updated on 6/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityBUS-0017337MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.