NPIMap

Organization Active NPI

Creating Independance LLC

  • Respite Care
  • Wayland, MI
National Provider Identifier
1033487244
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
CREATING INDEPENDANCE LLC
Practice address
416 E Superior St
Wayland, MI 49348-1146
Phone
(269) 838-4660
Fax
(269) 792-2074
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Simpson
Title
General Partner
Phone
(269) 838-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

416 E Superior St
Wayland, MI 49348-1146

Mailing address

416 E Superior St
Wayland, MI 49348-1146
Phone (269) 838-4660

National Provider Directory

National Provider Directory
Tax ID family
Creating Independence LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1033487244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481146",
            "telephone_number": "269-838-4660",
            "fax_number": "269-792-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481146",
            "telephone_number": "269-838-4660",
            "fax_number": "269-792-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING INDEPENDANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "269-838-4660"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.