| Organization Name: | CREEKSIDE HOSPICE, INC |
| NPI Number: | 1376504779 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTY DENNERLEIN (ADMINISTRATOR) |
| Mailing Address: | 3675 Pecos Mcleod Suite 900 Las Vegas |
| State: | NV US |
| Postal Code: | 891213815 |
| Phone Number: | 7026507669 |
| Fax Number: | 7026507670 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 3229HPC-7 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |