CREEKWAY HEALTHCARE LLC NPI 1295493120

NPI Information

NPI: 1295493120
Provider Name: CREEKWAY HEALTHCARE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 29D2257254

Address:
6276 SPRING MOUNTAIN RD STE 100
LAS VEGAS, NV
ZIP 89146
Phone: (725) 206-5572
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CREEKWAY HEALTHCARE LLC is a hospice care community based in Las Vegas, NV. CREEKWAY HEALTHCARE LLC NPI is 1295493120. The provider is registered as an organization entity type.

The provider's business location address is:

6276 SPRING MOUNTAIN RD STE 100
LAS VEGAS, NV
ZIP 89146-869
Phone: (725) 206-5572

The provider's authorized official is Alfred Fonacier .
The authorized official title is Owner and has the following contact phone number (702) 527-9452.

The CLIA number assigned to this NPI record is 29D2257254 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 8/3/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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

NPI Synchronization or Removal

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