CREEKSIDE HEALTH AND REHABILITATION CENTER
NPI 1104250406
Skilled Nursing Facility in Madison, TN

Active since August 23, 2013CLIA 44D2066127 · Waiver
306 W DUE WEST AVE, MADISON, TN 37115(615) 612-4499(615) 612-4498 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Creekside Health And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEKSIDE HEALTH AND REHABILITATION CENTER (NPI 1104250406) is a healthcare organization registered as a skilled nursing facility in Madison, Tennessee and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists John J Sheehan, President, as its authorized official.

NPPES Registry Identity

NPI1104250406
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCREEKSIDE HEALTHCARE, LLC
Location Address306 W DUE WEST AVEMadison, TN 37115-4511
Mailing Address306 W Due West AveMadison, TN 37115-4511 · (615) 612-4499 · Fax (615) 612-4498
Fax(615) 612-4498
Organization SubpartNo
Authorized OfficialJohn J SheehanPresident · (423) 618-1488
Enumeration DateAugust 23, 2013
Last NPPES UpdateFebruary 28, 2014
NPI 1104250406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(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.

306 W DUE WEST AVE, Madison, TN 37115

Other Names 1

Doing Business AsCreekside Health And Rehabilitation Center

Other Identifiers 1

Medicare OSCAR/certification445516TN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2066127

Creekside Health And Rehabilitation Center · Madison, TN
Active · expires Sep 22, 2027
CLIA Number44D2066127
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorDr. James C. Couch
Laboratory Phone(615) 612-4499
Laboratory LocationCreekside Health And Rehabilitation Center306 West Due West Ave, Madison, TN 37115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
306 W DUE WEST AVE
MADISON, TN 37115
Physical Medicine & Rehabilitation
306 W DUE WEST AVE
MADISON, TN 37115
Skilled Nursing Facility
306 W DUE WEST AVE
MADISON, TN 37115
Skilled Nursing Facility
306 W DUE WEST AVE
MADISON, TN 37115
Physician Assistant
306 W DUE WEST AVE
MADISON, TN 37115
Nurse Practitioner (Gerontology)
306 W DUE WEST AVE
MADISON, TN 37115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creekside Healthcare, LLC's NPI number?

The NPI number for Creekside Healthcare, LLC is 1104250406. It was assigned to this organization in the NPPES registry on August 23, 2013. The provider is doing business as Creekside Health And Rehabilitation Center.

Where is Creekside Healthcare, LLC located?

Creekside Healthcare, LLC is located at 306 W Due West Ave, Madison, TN 37115. The listed phone number is (615) 612-4499.

What is Creekside Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Creekside Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2066127) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Creekside Healthcare, LLC accept?

Health plans from UnitedHealthcare list Creekside Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Creekside Healthcare, LLC was last updated on February 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.