OrganizationActive
Creekwood Place Nursing & Rehab Center, Inc.
NPI 1619982410 · Skilled Nursing Facility · Russellville, KY
Provider details
- NPI number
- 1619982410
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Rodman, Asst Secretary(407) 975-3011
- License
- 90003948 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
107 Boyles Dr
Russellville, KY 42276-8838
Phone: (270) 726-9049
Fax: (270) 726-8706
Street-level locationGet directions
Mailing address
485 N Keller Rd
Maitland, FL 32751-7503
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2015-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.