NPIMap

Organization Active NPI

Creative Family Service, LLC

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1124389010
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CREATIVE FAMILY SERVICE, LLC
Practice address
4222 W Capitol Dr
Milwaukee, WI 53216-2500
Phone
(414) 388-8293
Fax
(414) 249-4658
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Mrs. Andrea Ward, COUNSELOR/CASE MANAGNPI 1356600837
Title
Executive Director
Phone
(414) 388-8293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
In Home Supportive Care Agency 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 16594-130 WI
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

4222 W Capitol Dr
Milwaukee, WI 53216-2500

Mailing address

4620 W Concordia Ave
Milwaukee, WI 53216-3350
Phone (414) 388-8293

National Provider Directory

National Provider Directory

Locations

6040 W Lisbon Ave
Ste 206
Milwaukee, WI 53210
Phone (414) 449-5554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1124389010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 W CONCORDIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163350",
            "telephone_number": "414-388-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162500",
            "telephone_number": "414-388-8293",
            "fax_number": "414-249-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE FAMILY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-388-8293",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COUNSELOR/CASE MANAG"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "16594-130",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.