Jcreative3000

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

JCREATIVE3000

Practice address

3201 S Edsel St
Detroit, MI 48217-2405

Phone

(586) 625-9704

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Sproles, AAS

Title

Administrator

Phone

(586) 625-9704

Specialties & licenses 1

Addresses

Other names 1

• Jcreative3000HomeHealthCareAgency Doing business as

Tax ID family

Jcreative30002 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.

• Jcreative3000

  • Home Health Agency
  • Detroit, MI
  • NPI 1427735117
  NPD tax ID

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1043990666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S EDSEL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482172405",
            "telephone_number": "586-625-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S EDSEL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482172405",
            "telephone_number": "586-625-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCREATIVE3000",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "SPROLES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-625-9704",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AAS"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jcreative3000HomeHealthCareAgency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prasani Nilwala Jayatilake, M.D.
• Ruvini Goonathilake Jayawardena, MD
• Miriam Jaziri
• JB Dental Associates PLLC
• JCJ Wholistic Health Care, LLC
• Jcreative3000
• JDB LLC
• JDF Van Service LLC
• JDS Homecare LLC
• William Jeakle, MD

• Nursing Home Administrator in Detroit, MI
• Providers in Detroit, MI by specialty
• Nursing Home Administrator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.