CRESS CREEK HEALTHCARE LLC

NPI: 1962068601 · REXBURG, ID 83440 · Skilled Nursing Facility · NPI assigned 05/17/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BURNAM, SOON controls 20+ related entities in our dataset. Read more

$2K

Total Medicaid Paid

295

Total Claims

Beneficiaries

Codes Billed

2021-04

First Month

2024-11

Last Month

Provider Details

Authorized Official	BURNAM, SOON (AUTHORIZED OFFICIAL)
NPI Enumeration Date	05/17/2019

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CLAREMONT FOOTHILLS HEALTH ASSOCIATES LLC	POMONA	CA	$330K
GATE THREE HEALTHCARE LLC	LAGUNA HILLS	CA	$301K
POCATELLO HEALTH SERVICES, INC.	POCATELLO	ID	$247K

Medicaid Provider Spending

Year	Claims	Total Paid
2021	123	$2K
2024	172	$47.83

Code	Description	Claims	Beneficiaries	Total Paid
97530		123	12	$2K
97110		172	12	$47.83