CREEKSIDE VILLAGE REHABILITATION AND NURSING, LLC
NPI 1588408447
Skilled Nursing Facility in Fort Collins, CO

Active since June 24, 2024CLIA 06D0516220 · Waiver
1000 E STUART ST, FORT COLLINS, CO 80525(970) 482-5712 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Creekside Village Rehabilitation And Nursing, Llc NPPES

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

CREEKSIDE VILLAGE REHABILITATION AND NURSING, LLC (NPI 1588408447) is a healthcare organization registered as a skilled nursing facility in Fort Collins, Colorado and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Wendy Anderson, Corporate Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1588408447
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCREEKSIDE VILLAGE REHABILITATION AND NURSING, LLC
Location Address1000 E STUART STFort Collins, CO 80525-1555
Mailing Address947 S 500 E Ste 105American Fork, UT 84003-3392 · (385) 492-0194
Organization SubpartNo
Authorized OfficialWendy AndersonCorporate Business Office Manager · (385) 498-0194
Enumeration DateJune 24, 2024
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
NPI 1588408447 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.

1000 E STUART ST, Fort Collins, CO 80525

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 06D0516220

Creekside Village Rehabilitation And Nursing LLC · Fort Collins, CO
Active · expires Aug 31, 2026
CLIA Number06D0516220
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStacy Long
Laboratory Phone(303) 482-5712
Laboratory LocationCreekside Village Rehabilitation And Nursing LLC1000 East Stuart St, Fort Collins, CO 80525
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

Occupational Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Assisted Living Facility
1000 E STUART ST
FORT COLLINS, CO 80525
Physical Therapist (Geriatrics)
1000 E STUART ST
FORT COLLINS, CO 80525
Occupational Therapist (Gerontology)
1000 E STUART ST
FORT COLLINS, CO 80525
Speech-Language Pathologist
1000 E STUART ST
FORT COLLINS, CO 80525
Occupational Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Physical Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525
Occupational Therapy Assistant
1000 E STUART ST
FORT COLLINS, CO 80525

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 Village Rehabilitation And Nursing, LLC's NPI number?

The NPI number for Creekside Village Rehabilitation And Nursing, LLC is 1588408447. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Creekside Village Rehabilitation And Nursing, LLC located?

Creekside Village Rehabilitation And Nursing, LLC is located at 1000 E Stuart St, Fort Collins, CO 80525. The listed phone number is (970) 482-5712.

What is Creekside Village Rehabilitation And Nursing, LLC's specialty?

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

Does Creekside Village Rehabilitation And Nursing, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0516220) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Creekside Village Rehabilitation And Nursing, LLC was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.