Creative Options, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CREATIVE OPTIONS, LLC

Practice address

1660 Ohio St
Bangor, ME 04401-2215

Phone

(207) 949-3582

Fax

(207) 564-3011

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Lynn Augustine

Title

President/Ceo

Phone

(207) 949-3582

Specialties & licenses 1

Addresses

Tax ID family

Creative Options LLC2 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.

• Creative Options, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bangor, ME
  • NPI 1114804739
  NPD tax ID

Locations

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1245699461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "DOVER - FOXCROFT",
            "state": "ME",
            "postal_code": "04426",
            "telephone_number": "207-949-3582",
            "fax_number": "207-564-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OHIO ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012215",
            "telephone_number": "207-949-3582",
            "fax_number": "207-564-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "207-949-3582"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Crawford, FNP-C
• Tracy JH Crawford, LMT
• Creative Dental LLC
• Creative Dental Solutions LLC, P.a.
• Creative Options, LLC
• Bonnie Creech, PH.D.
• Wanda J. Creed, BC-HIS
• Guillermo J Crespo, MD
• Cynthia Jeanine Crockett, PH.D.
• Jeremy Matthew Crockett, CADC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bangor, ME
• Providers in Bangor, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.