Organization Active NPI

Creating Impact Enterprises, LLC

  • Lodging Provider
  • Philadelphia, PA
National Provider Identifier
1235092487
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
CREATING IMPACT ENTERPRISES, LLC
Practice address
945 E Ellet St
Philadelphia, PA 19150-3506
Phone
(267) 978-9177
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Martha Watkins Watkins
Title
Owner
Phone
(267) 978-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

945 E Ellet St
Philadelphia, PA 19150-3506

Mailing address

945 E Ellet St
Philadelphia, PA 19150-3506
Phone (267) 978-9177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1235092487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503506",
            "telephone_number": "267-978-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503506",
            "telephone_number": "267-978-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING IMPACT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MARTHA WATKINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-978-9177"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.