MEDICARE: CREEKSIDE HOSPICE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	3229HPC-7	NV

General Provider Information

NPI Number	:	1376504779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREEKSIDE HOSPICE, INC

Provider Business Mailing Address
First Line	:	3675 PECOS MCLEOD
Second Line	:	SUITE 900
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3815
Country	:	US
Telephone Number	:	702-650-7669
Fax Number	:	702-650-7670

Provider Business Practice Location Address
First Line	:	3675 PECOS MCLEOD
Second Line	:	SUITE 900
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3815
Country	:	US
Telephone Number	:	702-650-7669
Fax Number	:	702-650-7670

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KRISTY DENNERLEIN
Credential	:	RN, BSN, MBNA
Telephone Number	:	702-650-7669

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1356303713 — CREEKSIDE HOME HEALTH CARE
Practice Location Address:

3675 PECOS MCLEOD , SUITE #500
LAS VEGAS, NV
89121-3815

Practice Phone: 702-696-9229
Practice Fax: 702-696-1003

1962536938 — LYNN HOLIHAN PT
Practice Location Address:

3675 PECOS MCLEOD , SUITE 500
LAS VEGAS, NV
89121-3815

Practice Phone: 702-696-9229
Practice Fax: 702-696-1003

1144583543 — PORTABLE IMAGING OF NEVADA LLC
Practice Location Address:

3675 PECOS MCLEOD , SUITE 100
LAS VEGAS, NV
89121-3815

Practice Phone: 702-836-9232
Practice Fax: 702-836-9555

1760485692 — BIOSCRIP PHARMACY, INC.
Practice Location Address:

901 S RANCHO DR , STE 20
LAS VEGAS, NV
89106-3815

Practice Phone: 702-471-7828
Practice Fax:

1578544581 — DR. KELLEY JANE WOODS D.P.M
Practice Location Address:

3815 S JONES BLVD , 3815 SO JONES BLVD #6
LAS VEGAS, NV
89103-2289

Practice Phone: 702-354-2452
Practice Fax:

1982883294 — SOLE TO SOUL PODIATRY LLC
Practice Location Address:

3815 S JONES BLVD STE 6
LAS VEGAS, NV
89103

Practice Phone: 702-228-1162
Practice Fax: 702-312-3932

Directions to “CREEKSIDE HOSPICE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.