New Creative Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

243369 Issued in WI

Legal business name

NEW CREATIVE CARE

Practice address

5151 N 58TH St
Milwaukee, WI 53218-4251

Phone

(414) 395-3819

Fax

(414) 395-3819

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Notkia Shenee Delarosa, CNA

Title

Owner

Phone

(414) 254-8216

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1285975326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184251",
            "telephone_number": "414-395-3819",
            "fax_number": "414-395-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 58TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184251",
            "telephone_number": "414-395-3819",
            "fax_number": "414-395-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CREATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DELAROSA",
        "authorized_official_first_name": "NOTKIA",
        "authorized_official_middle_name": "SHENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-254-8216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WI",
            "license": "243369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA",
            "identifier": "243369",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Breath PNCC
• New C.H.O.I.C.E.S., LLC
• New C.H.O.I.C.E.S., LLC
• New Care Family House LLC
• New Concept Self Development Center, Inc.
• New Directions Behavioral Health Center, Inc.
• New Frontiers Psychiatric SC
• New Frontiers TMS LLC
• New Generation Prenatal Coordination Care LLC
• New Health Services

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.