Organization Active NPI

Creative Family Health & Wellness Center

  • Case Management Agency
  • North Las Vegas, NV
National Provider Identifier
1306318936
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CREATIVE FAMILY HEALTH & WELLNESS CENTER
Practice address
2560 W Brooks Ave # A100
North Las Vegas, NV 89032-3832
Phone
(702) 233-5252
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Brittany Sanders
Title
Manager
Phone
(702) 205-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2560 W Brooks Ave # A100
North Las Vegas, NV 89032-3832

Mailing address

2560 W Brooks Ave # A100
North Las Vegas, NV 89032-3832

Other identifiers 1

IdentifierTypeStateIssuer
123MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Creative Family Health Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2560 W Brooks Ave
#A100
North Las Vegas, NV 89032
Phone (702) 233-5252

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1306318936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W BROOKS AVE # A100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W BROOKS AVE # A100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323832",
            "telephone_number": "702-233-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE FAMILY HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-205-0322"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.