Organization Active NPI

Creative Care Solutions, LLC

Doing business as Hometown Medical Group

  • Family Nurse Practitioner
  • Kimball, NE
National Provider Identifier
1245926484
Registry record updated Oct 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CREATIVE CARE SOLUTIONS, LLC
Doing business as
Hometown Medical Group
Practice address
606 East 3Rd Street
Kimball, NE 69145-1601
Phone
(308) 230-2174
Fax
(308) 230-2172
NPI assigned
Apr 12, 2023
Last updated
Oct 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2023

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

Authorized official

Name
Keri Durae Foster, APRN
Title
Owner
Phone
(308) 230-2172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

606 East 3Rd Street
Kimball, NE 69145-1601

Mailing address

606 East 3Rd Street
Kimball, NE 69145-1601
Phone (308) 230-2174

Other practice location 1

731 Illinois St
Sidney, NE 69162-1747
Phone (308) 230-2172

Other names 1

  • Hometown Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1245926484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 EAST 3RD STREET",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451601",
            "telephone_number": "308-230-2174",
            "fax_number": "308-230-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 EAST 3RD STREET",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451601",
            "telephone_number": "308-230-2174",
            "fax_number": "308-230-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "NE",
            "postal_code": "691621747",
            "country_code": "US",
            "telephone_number": "308-230-2172",
            "fax_number": "308-230-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "DURAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-230-2172",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kimball, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.