NPIMap

Organization Active NPI

Creative Life

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1114262045
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
X Issued in NV
Legal business name
CREATIVE LIFE
Practice address
2443 N 37TH Way
Phoenix, AZ 85008-2219
Phone
(602) 291-5863
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Orlando Diaz
Title
Case Manager
Phone
(602) 291-5863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X X NV Primary

Addresses

Primary practice location

2443 N 37TH Way
Phoenix, AZ 85008-2219

Mailing address

2443 N 37TH Way
Phoenix, AZ 85008-2219
Phone (602) 291-5863

National Provider Directory

National Provider Directory
Tax ID family
Ar Diversified Human Services24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114262045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 N 37TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082219",
            "telephone_number": "602-291-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 N 37TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082219",
            "telephone_number": "602-291-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "602-291-5863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": "X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.