NPIMap

Organization Active NPI

Creative Care, Inc.

  • Substance Abuse Rehabilitation Facility
  • Woodland Hills, CA
National Provider Identifier
1154988665
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CREATIVE CARE, INC.
Practice address
23140 Gonzales Dr
Woodland Hills, CA 91367-6114
Phone
(818) 334-5400
Fax
(818) 334-5435
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Tiffany Kessler
Title
Executive Assistant
Phone
(818) 334-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

23140 Gonzales Dr
Woodland Hills, CA 91367-6114

Mailing address

5941 Trancas Canyon Rd
Malibu, CA 90265-3118
Phone (818) 334-5400

Other identifiers 1

IdentifierTypeStateIssuer
1477792794OtherNPI

National Provider Directory

National Provider Directory
Tax ID family
Creative Care Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1154988665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 TRANCAS CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653118",
            "telephone_number": "818-334-5400",
            "fax_number": "818-334-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 GONZALES DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676114",
            "telephone_number": "818-334-5400",
            "fax_number": "818-334-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "818-334-5400"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477792794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.