CREEKSIDE TRANSITIONAL CARE AND REHABILITATION
NPI 1932685583
Skilled Nursing Facility in Meridian, ID
NPI Status: Active since July 17, 2018
- Organization
- Skilled Nursing Facility
- CLIA Number: 13D0927134
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-09-2027
About CREEKSIDE TRANSITIONAL CARE AND REHABILITATION
This page provides the complete NPI Profile along with additional information for Creekside Transitional Care And Rehabilitation, a provider established in Meridian, Idaho operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1932685583 assigned on July 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Creekside Transitional Care And Rehabilitation. The authorized official of this NPI record is Ms. Soon Burnam (Treasurer)
- NPI
- 1932685583
- Provider Legal Name
- MERIDIAN HEALTHCARE LLC
- Other Organization Name
- CREEKSIDE TRANSITIONAL CARE AND REHABILITATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1351 W PINE AVE MERIDIAN, ID 83642
- Location Phone
- (208) 888-7049
- Mailing Address
- 1351 W PINE AVE MERIDIAN, ID 83642
- Mailing Phone
- (208) 888-7049
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2018
- Last Update Date
- 09-14-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0927134
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- April 10, 2025
- Certificate Expiration Date
- April 09, 2027
- Laboratory Director
- DANIEL ALLEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Creekside Transitional Care And Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 3 | 2 | 6 | 8 | 5 | 5 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 12 | 8 | 10 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 2 + 8 + 1 + 0 + 5 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1932685583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811231475 | TANYA PERKINS COTA/L Individual | Occupational Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 895-6431 |
| 1205170768 | MR. ANSON P TAYLOR COTA/L Individual | Occupational Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1366785198 | MISS LINDSEY JANAE DAVIES COTA Individual | Occupational Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1184033110 | SHAWN CALHOUN Individual | Physical Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1073905055 | REBECCA BAXTER Individual | Occupational Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1558754481 | TONY LANE GRANT Individual | Physical Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1427425453 | JACE EYRE Individual | Physical Therapy Assistant | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1639541329 | CASEY MICHEL DPT Individual | Physical Therapist | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1235594607 | ERIC REED MCEVOY PT, MPT Individual | Physical Therapist | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1841642857 | KELLY ELIZABETH SILLS Individual | Occupational Therapist | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1649477704 | MRS. WENDY L MEGUESS OTR Individual | Occupational Therapist (Gerontology) | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 895-6431 |
| 1639126493 | SUNBRIDGE HEALTHCARE LLC Organization | Skilled Nursing Facility | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1366943664 | ALYSSA SMITH Individual | Technician, Other | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 895-6431 |
| 1780099226 | DEVANGI DIVYANGKUMAR JOSHI Individual | Physical Therapist | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
| 1699251058 | MERIDIAN HEALTHCARE LLC Organization | Assisted Living Facility | 1351 W PINE AVE MERIDIAN, ID 83642 (208) 888-7049 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932685583, enumerated in the NPI registry as an "organization" on July 17, 2018
The provider is located at 1351 W Pine Ave Meridian, Id 83642 and the phone number is (208) 888-7049
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider's CLIA number is 13D0927134 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 17, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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