Creative Community Living of South Central Kansas, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CREATIVE COMMUNITY LIVING OF SOUTH CENTRAL KANSAS, INC.

Practice address

1500 E 8TH Ave
Suite 201
Winfield, KS 67156-3104

Phone

(620) 221-9431

Fax

(620) 221-9336

NPI assigned

Mar 1, 2007

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tami Shaw

Title

Cfo

Phone

(620) 221-9431

Specialties & licenses 3

Addresses

Tax ID family

Creative Community Living of South Central Kansas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Creative Community Living of South Central Kansas, Inc.

  • Case Management Agency
  • Winfield, KS
  • NPI 1134344583
  NPD tax ID

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1356479208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 8TH AVE",
            "address_2": "SUITE 201",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563104",
            "telephone_number": "620-221-9431",
            "fax_number": "620-221-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 8TH AVE",
            "address_2": "SUITE 201",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563104",
            "telephone_number": "620-221-9431",
            "fax_number": "620-221-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMMUNITY LIVING OF SOUTH CENTRAL KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-221-9431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Couch
• County of Cowley (City-Cowley County Health Dept..)
• Cowley Co Spec Serv #465
• Cowley County Mental Health Center
• Creative Community Living of South Central Kansas, Inc.
• Cumbernauld Village, Inc. (Cumbernauld Village)
• Manon Czaplinski
• David C. Parsons
• Bryan C Davis, M.D.
• Bryan K. Dennett, M.D.

• Developmentally Disabled Services Day Training Agency in Winfield, KS
• Providers in Winfield, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.