NPIMap

Organization Active NPI

Creative Endings Social Services, LLC

  • Case Management Agency
  • Indianapolis, IN
National Provider Identifier
1326580713
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CREATIVE ENDINGS SOCIAL SERVICES, LLC
Practice address
4165 Millersville Rd
Indianapolis, IN 46205-2989
Phone
(317) 622-4104
Fax
(317) 737-2320
NPI assigned
Nov 16, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mr. Vernon Lee Thomas III, JD
Title
Director of Business Development
Phone
(317) 622-4104

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IN Primary
Developmentally Disabled Services Day Training Agency 251C00000X IN
Community/Behavioral Health Agency 251S00000X IN
Early Intervention Provider Agency 252Y00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

4165 Millersville Rd
Indianapolis, IN 46205-2989

Mailing address

4165 Millersville Rd
Indianapolis, IN 46205-2989
Phone (317) 622-4104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1326580713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 MILLERSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052989",
            "telephone_number": "317-622-4104",
            "fax_number": "317-737-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 MILLERSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052989",
            "telephone_number": "317-622-4104",
            "fax_number": "317-737-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ENDINGS SOCIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "317-622-4104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.