OrganizationActive
Blue Creek Healthcare LLC
NPI 1023523404 · Skilled Nursing Facility · Whitehouse, OH
Provider details
- NPI number
- 1023523404
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Bergsten, Managing Member(937) 825-6622
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11239 Waterville St
Whitehouse, OH 43571-9813
Phone: (937) 825-6622
Street-level locationGet directions
Mailing address
544 Enterprise Dr
Lewis Center, OH 43035-9704
Registry dates
- Enumerated
- 2017-12-07
- Last updated
- 2017-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.