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WILDCREEK HEALTHCARE, INC. SOS Verified

Skilled Nursing Facility · RENO, NV

2045 SILVERADA BLVD, RENO, NV 89512

NPI Number
1407123417
Street View of 2045 SILVERADA BLVD, RENO, NV 89512

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: WILDCREEK HEALTHCARE, INC.
Entity Number: E0533392011-6
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2011-09-27
Name Match: 95%
Registered Agent
Name: COGENCY GLOBAL INC.*
Type: Commercial Registered Agent
Address: 321 W. WINNIE LANE #104, Carson City, NV, 89703
Officers / Principals
TitleNameAddressStatus
DirectorTYLER HOOPES29222 RANCHO VIEJO RD. SUITE 127, San Juan Capistrano, CAActive
SecretarySoon Burnam29222 RANCHO VIEJO RD. SUITE 127, San Juan Capistrano, CAActive
TreasurerAmi Sato29222 RANCHO VIEJO RD. SUITE 127, San Juan Capistrano, CAActive
PresidentIsaiah Hawkins29222 RANCHO VIEJO RD. SUITE 127, San Juan Capistrano, CAActive
Campaign Contributions
$10,000Total Contributed
1Candidates Supported
Officer / Individual Matches
Tyler HoopesProbable Match
Matched via officer: TYLER HOOPES (Director)
$10,000 across 2 contributions
CandidateOfficePartyTotalCount
Daniele Monroe-MorenoState Assembly, District 1Democratic Party$10,0002
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.

Payments by Year

How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.

Year Total Paid % of Max
2019$0
2020$0
2021$0
2022$0
2023$0
2024$0

Procedure Code Breakdown

The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.

HCPCS Code Description Claims Paid % of Total Avg per Claim
97116Gait training — learning or re-learning how to walk158$0
0.0%
$0
97110Physical therapy exercises to build strength, flexibility, or range of motion2,886$0
0.0%
$0
92507Speech therapy session — treatment for speech, language, or swallowing problems6,253$0
0.0%
$0
90688Vaccine or immunization29$0
0.0%
$0
97530Therapeutic activities — exercises and tasks to improve daily function4,601$0
0.0%
$0
Q3014Telehealth originating site facility fee1,308$0
0.0%
$0
90686Vaccine or immunization30$0
0.0%
$0
97150Group therapy session (physical, occupational, or speech)1,051$0
0.0%
$0
90674Flu vaccine — standard injection17$0
0.0%
$0
87426Microbiology test — checking for infections (bacteria, viruses, fungi)22$0
0.0%
$0
92523Speech and language evaluation — comprehensive12$0
0.0%
$0
92508Group speech therapy session742$0
0.0%
$0
90756Vaccine or immunization57$0
0.0%
$0
97535Self-care training — learning to do daily activities like dressing, cooking, or bathing833$0
0.0%
$0
G0008Administration of influenza virus vaccine133$0
0.0%
$0