Creative Impact, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CREATIVE IMPACT, LLC

Practice address

11403 Fawnway Dr
Houston, TX 77048-2605

Phone

(713) 320-1329

NPI assigned

Jul 20, 2018

Last updated

Jul 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quintina Jones

Title

Owner

Phone

(713) 320-1329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1134606338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 FAWNWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770482605",
            "telephone_number": "713-320-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11403 FAWNWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770482605",
            "telephone_number": "713-320-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE IMPACT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "QUINTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-320-1329"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.