NPIMap

Organization Active NPI

Creatve Minds Day Services LLC

  • Adult Day Care Clinic/Center
  • Martinez, GA
National Provider Identifier
1215232277
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
261QA0600X Issued in NU
Legal business name
CREATVE MINDS DAY SERVICES LLC
Practice address
4570 Pintail CT
Martinez, GA 30907-8872
Phone
(706) 834-8106
NPI assigned
Jan 21, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Chandra Jones
Title
Owner
Phone
(706) 834-8106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 261QA0600X NU Primary
Adult Mental Health Clinic/Center 261QM0850X 261QM0850X GA

Addresses

Primary practice location

4570 Pintail CT
Martinez, GA 30907-8872

Mailing address

4570 Pintail CT
Martinez, GA 30907-8872
Phone (706) 834-8106

National Provider Directory

National Provider Directory
Tax ID family
Amazing Grace PCH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1215232277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PINTAIL CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078872",
            "telephone_number": "706-834-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PINTAIL CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078872",
            "telephone_number": "706-834-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATVE MINDS DAY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-834-8106"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": "261QA0600X",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "261QM0850X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.