Organization Active NPI

Cre8Ivity Family Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1356685267
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRE8IVITY FAMILY SERVICES
Practice address
3651 Lindell Rd
D470
Las Vegas, NV 89103-1254
Phone
(702) 583-0021
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Trumaine Ross
Title
Managing Member
Phone
(702) 583-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3651 Lindell Rd
D470
Las Vegas, NV 89103-1254

Mailing address

3651 Lindell Rd
D470
Las Vegas, NV 89103-1254

National Provider Directory

National Provider Directory

Locations

3651 Lindell Rd
#D470
Las Vegas, NV 89103
Phone (702) 583-0021

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1356685267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD",
            "address_2": "D470",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD",
            "address_2": "D470",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "702-583-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRE8IVITY FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TRUMAINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-583-0021"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 15, 2012; 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.