Organization Active NPI

Kreative Minds Direct Care LLC

  • In Home Supportive Care Agency
  • Toms River, NJ
National Provider Identifier
1134802937
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KREATIVE MINDS DIRECT CARE LLC
Practice address
252 Washington St Ste B3
Toms River, NJ 08753-7582
Phone
(732) 333-3798
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Kevin Ruiz Navarro
Title
Ceo
Phone
(732) 600-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

252 Washington St Ste B3
Toms River, NJ 08753-7582

Mailing address

252 Washington St Ste B3
Toms River, NJ 08753-7582
Phone (732) 600-5249

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1134802937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON ST STE B3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537582",
            "telephone_number": "732-600-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON ST STE B3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537582",
            "telephone_number": "732-333-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE MINDS DIRECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ NAVARRO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-600-5249"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.