CREEKSIDE TRANSITIONAL CARE AND REHABILITATION
NPI 1932685583
Skilled Nursing Facility in Meridian, ID

Active since July 17, 2018CLIA 13D0927134 · Waiver
1351 W PINE AVE, MERIDIAN, ID 83642(208) 888-7049 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 14, 2022, Mar 2, 2021, Jul 17, 2018 (3 updates tracked since 2018).

About Creekside Transitional Care And Rehabilitation NPPES

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

CREEKSIDE TRANSITIONAL CARE AND REHABILITATION (NPI 1932685583) is a healthcare organization registered as a skilled nursing facility in Meridian, Idaho and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1932685583
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMERIDIAN HEALTHCARE LLC
Location Address1351 W PINE AVEMeridian, ID 83642-2010
Mailing Address1351 W Pine AveMeridian, ID 83642-2010 · (208) 888-7049
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateJuly 17, 2018
Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
NPI 1932685583 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.

1351 W PINE AVE, Meridian, ID 83642

Other Names 1

Doing Business AsCreekside Transitional Care And Rehabilitation

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 13D0927134

Creekside Transitional Care And Rehabilitation · Meridian, ID
Active · expires Apr 9, 2027
CLIA Number13D0927134
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorDaniel Allen
Laboratory Phone(208) 888-7049
Laboratory LocationCreekside Transitional Care And Rehabilitation1351 W Pine Ave, Meridian, ID 83642
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 15

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

Occupational Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Occupational Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Occupational Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Physical Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Occupational Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Physical Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Physical Therapy Assistant
1351 W PINE AVE
MERIDIAN, ID 83642
Physical Therapist
1351 W PINE AVE
MERIDIAN, ID 83642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932685583, enumerated 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.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.