Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creekwood Place Nursing & Rehab Center, Inc

Organization Skilled Nursing Facility · NPI 1619982410

Creekwood Place Nursing & Rehab Center, Inc is a Skilled Nursing Facility in Russellville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Boyles Dr
Russellville, KY 42276-8838
Phone: (270) 726-9049
Fax: (270) 726-8706
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 100299 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 90003948 (KY)

Record details

NPI number1619982410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Rodman — Asst Secretary · (407) 975-3011
NPI enumeratedJuly 30, 2006
Last updated in NPPESDecember 30, 2015
Mailing address485 N Keller Rd, Suite 250, Maitland, FL 32751-7503

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