Creative Community Choices

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

01113193 Issued in MD

Legal business name

CREATIVE COMMUNITY CHOICES

Practice address

6704 Wilburn Drive
Capitol Heights, MD 20743

Phone

(301) 254-9553

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Hooker, ABD

Title

President/Ceo

Phone

(301) 254-9553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1285011056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 WILBURN DRIVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "20743",
            "telephone_number": "301-254-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 WILBURN DRIVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "20743",
            "telephone_number": "301-254-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMMUNITY CHOICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-254-9553",
        "authorized_official_credential": "ABD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": "01113193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashmia Conteh
• Shanell Cooper, LGSW
• Victoria Copeland
• Ingrid Cortez
• Felicia Cowser, LICSW, LCSW-C
• Samuel Croff Jr., MD
• Andrea Crutchfield
• Yocelin Cecilia Cruz Mendoza I
• Floretta Alfreda Cuffey, D.D.S.
• Sarah Isatu Daboh

• Developmentally Disabled Services Day Training Agency in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Developmentally Disabled Services Day Training Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.