Creekwood Place Nursing & Rehab Center, Inc.
Skilled Nursing Facility
107 Boyles Dr, Russellville
Kentucky, 42276-8838
270-726-9049 270-726-8706
Creekwood Place Nursing & Rehab Center, Inc. is a Skilled Nursing Facility in Russellville, Kentucky. It is located at 107 Boyles Dr, Russellville and it's customer support contact number is 270-726-9049. The authorized person of Creekwood Place Nursing & Rehab Center, Inc. is Mr. David Rodman who is Asst Secretary of this DME and his contact number is 407-975-3011. Active license number of Creekwood Place Nursing & Rehab Center, Inc. is 100299 for Skilled Nursing Facility in Kentucky.
Creekwood Place Nursing & Rehab Center, Inc. is (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.
DME Supplier Details:
Creekwood Place Nursing & Rehab Center, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Creekwood Place Nursing & Rehab Center, Inc. |
| Type: | Skilled Nursing Facility |
| Location: | 107 Boyles Dr, Russellville,
Kentucky, 42276-8838 |
| Phone: | 270-726-9049 |
| Fax: | 270-726-8706 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. David Rodman |
| Position: | Asst Secretary |
| Contact Number: | 407-975-3011 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1619982410 |
| NPI Enumeration Date: | 30 Jul, 2006 |
| NPI Last Update On: | 30 Dec, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Creekwood Place Nursing & Rehab Center, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Skilled Nursing Facility | 100299 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | 90003948 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100025410 | Medicaid | Kentucky | |
| 90003948 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 485 N Keller Rd, Suite 250
Maitland, Florida |
| Zip: | 32751-7503 |
| Phone Number: | 407-975-3000 |
| Fax Number: | 407-975-3090 |
Patients can reach Creekwood Place Nursing & Rehab Center, Inc. at
107 Boyles Dr, Russellville, Kentucky or can
call on customer care at 270-726-9049.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.