MEDICARE: CREEKSIDE HOME CARE II, LLC

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	251E00000X	Home Health Agency	530HHA-23	NV

General Provider Information

NPI Number	:	1942528492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREEKSIDE HOME CARE II, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DRIVE
Second Line	:	SUITE 400
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-377-7022
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	3530 E FLAMINGO RD
Second Line	:	SUITE 270
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5069
Country	:	US
Telephone Number	:	702-696-9229
Fax Number	:	702-696-1003

Authorized Official
Title or Position	:	CFO
Name	:	MR. ANTHONY JAMES
Credential	:
Telephone Number	:	615-425-5418

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	01/30/2017

Similar Medicare Providers

1598762783 — MR. ROBERT G. OLSEN AU. D.
Practice Location Address:

3530 E FLAMINGO RD , SUITE 101
LAS VEGAS, NV
89121-5069

Practice Phone: 702-898-5700
Practice Fax: 702-898-5900

1528137106 — MS. RHONDA JORDAN LCSW
Practice Location Address:

3530 E FLAMINGO RD , #230
LAS VEGAS, NV
89121-5069

Practice Phone: 702-733-7200
Practice Fax: 702-733-6716

1598832115 — PHYSIOTHERAPY ASSOCIATES INC
Practice Location Address:

3530 E FLAMINGO RD , #103
LAS VEGAS, NV
89121-5069

Practice Phone: 702-737-0304
Practice Fax: 702-733-9895

1518169358 — DR. ROBERT JOSEPH DIORIO PHD
Practice Location Address:

3530 E FLAMINGO RD , SUITE 228
LAS VEGAS, NV
89121-5069

Practice Phone: 702-733-9853
Practice Fax: 702-733-6716

1316267867 — MR. CHRISTOPHER L MCNAIR CADC
Practice Location Address:

3530 E FLAMINGO RD , SUITE 236
LAS VEGAS, NV
89121-5069

Practice Phone: 702-443-2329
Practice Fax:

1811285745 — MRS. CANDY BUTLER
Practice Location Address:

3530 E FLAMINGO RD , SUITE 100
LAS VEGAS, NV
89121-5069

Practice Phone: 702-816-3400
Practice Fax: 702-816-3403

Directions to “CREEKSIDE HOME CARE II, LLC ” 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.