Creations-Unlimited

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CREATIONS-UNLIMITED

Practice address

318 Moore St
Lake City, SC 29560-2551

Phone

(804) 519-8009

Fax

(804) 525-5444

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Rose

Title

Owner/Ceo

Phone

(804) 519-8009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1124431788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6453 GOLDENROD CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315330",
            "telephone_number": "804-519-8009",
            "fax_number": "804-525-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602551",
            "telephone_number": "804-519-8009",
            "fax_number": "804-525-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIONS-UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "804-519-8009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Lake City, SC
• Providers in Lake City, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.