NPIMap

Organization Active NPI

Oakwood Creative Care Inc.

  • Adult Day Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1114388626
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
AL0164D Issued in AZ
Legal business name
OAKWOOD CREATIVE CARE INC.
Practice address
247 N Macdonald
102
Mesa, AZ 85201-6622
Phone
(480) 464-1061
Fax
(480) 464-1166
NPI assigned
Mar 10, 2016
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Sherri Friend
Title
President and Ceo
Phone
(480) 464-1061

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X AL0164D AZ Primary
General Practice Physician 208D00000X
Occupational Therapist 225X00000X

Addresses

Primary practice location

247 N Macdonald
102
Mesa, AZ 85201-6622

Mailing address

6915 E Main St
Mesa, AZ 85207-8229
Phone (480) 464-1061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200710000812 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991128860 Receives reassigned benefits from 3 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

247 N Macdonald
Mesa, AZ 85201
Phone (480) 464-1061

247 N Macdonald
#102
Mesa, AZ 85201
Phone (480) 464-1061

6915 E Main St
Mesa, AZ 85207
Phone (480) 464-1061

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1114388626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078229",
            "telephone_number": "480-464-1061",
            "fax_number": "480-464-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N MACDONALD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016622",
            "telephone_number": "480-464-1061",
            "fax_number": "480-464-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD CREATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "480-464-1061"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AZ",
            "license": "AL0164D",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.