Creekside Hospice



  
3920 South 1100 East, Suite 250, Salt Lake City
Utah, 84124

 801-810-2122   Maps & Directions
Creekside Hospice, also known as Creekside Home Health is a hospice care center situated at Salt Lake City, Utah. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Creekside Hospice accommodated approx. 13 Medicare beneficiaries whose average age was 75 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 461586. Creekside Hospice comes under the CMS regional office located at Denver. This CMS regional office covers all hospices located in Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming. Creekside Hospice has gone one time change of ownership, on 01 Nov, 2015. Services provided at Creekside Hospice mainly includes home health aide, counseling, homemaker, medical social services, nursing services, occupational therapy, other, physician services, physical therapy, speech pathology services.
Creekside Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Creekside Home Health type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 461586
Hospice’s Ownership Type:For-Profit
Accreditation UnAccredited
Hospice Address:3920 South 1100 East, Suite 250, Salt Lake City,
Utah, 84124
County:Salt Lake
Phone:801-810-2122
Fax:385-347-5331
CMS Regional Office Denver
Medicare Certification:
Medicare certification details of Creekside Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:19 May, 2011
Current Status: Active Provider
Latest visit of the Health or LSC survey: 23 Oct, 2018
Status at the time of certification survey: Not in Compliance
Waiver of any life safety code: No
Latest Certification Type: Recertification
Certificate Provider: Denver CMS Regional Office
MAC Cgs Administrators Hhh
CBSA Code 41620 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Creekside Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 13
RHC Days (in %) 99
Average Age of Beneficiary 75 year
Total Medicare Payment Amount $ 170,744
Total Medicare Standard Payment Amount $ 176,735
Total Charge Amount $ 224,150

Average Service Hours per Day

Creekside Hospice provided an average of 0.03 hours per day of home health, 0.04 hours per day of Skilled Nursing, 0.01 hours per day of Social Service hospice care.



Beneficiaries by Race


Creekside Hospice provided hospice care to 11 White, 2 not disclosed Medicare beneficiaries in a calendar year.



Site-of-service Hospice Beneficiaries

At Creekside Hospice, distinct Medicare beneficiaries who received the majority of their hospice care days are 12 at home,

Services Provided:
Services available at Creekside Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherHospice Staff
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 92.693.6
Pain Screening 96.393.9
Pain Assessment Not Available77.7
Dyspnea Screening 100.097.3
Dyspnea Treatment Not Available94.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
Creekside Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide30
Counseling1 0
Homemaker20
Medical Social Services10
Registered Nurses30
Practical/Vocational Nurses3 0
Other Personnel1 0
Physician Services1 0
TOTAL150
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Mr. Diego Valli
Position: Chief Operating Officer
Contact Number: 801-518-54762
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 stated hospice are as mentioned below.
NPI Number: 1366687865
NPI Enumeration Date: 11 Dec, 2008
NPI Last Update On: 23 Jan, 2017
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Creekside Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Home Health 2017-HHA-UT000349UtahPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
UT000349MedicaidUtah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3920 S 1100 E, 250
Salt Lake City, Utah
Zip: 84124-1213
Phone Number: 801-810-2122
Fax Number: 385-347-5331
Patients can reach Creekside Home Health at 3920 South 1100 East, Suite 250, Salt Lake City, Utah or can call to book an appointment on 801-810-2122.

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