Cress Creek Healthcare LLC
NPI 1962068601ActiveOrganization· Skilled Nursing Facility· Rexburg, ID
Skilled Nursing Facility in Rexburg, Idaho, registered in NPPES in May 2019. The authorized official on file is Soon Burnam, Authorized Official. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1962068601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2019 |
| Last updated in NPPES | Sep 14, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (ID) |
|---|
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