CREATIVE COMMUNITY CARE NPI 1992844757

NPI Information

NPI: 1992844757
Provider Name: CREATIVE COMMUNITY CARE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1611 E 5TH ST
TYLER, TX
ZIP 75701
Phone: (903) 595-5644
Get Directions

CREATIVE COMMUNITY CARE is an assisted living facility in Tyler, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CREATIVE COMMUNITY CARE NPI is 1992844757. The provider is registered as an organization entity type.

The provider's business location address is:

1611 E 5TH ST
TYLER, TX
ZIP 75701-432
Phone: (903) 595-5644
Fax: (903) 526-0881

The provider's authorized official is Laura L Redman .
The authorized official title is Ceo and has the following contact phone number (903) 595-5644.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »