Creative Management Source, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE MANAGEMENT SOURCE, INC.

Practice address

3407 W Wendover Ave
Suite G
Greensboro, NC 27407-1581

Phone

(336) 292-5478

Fax

(336) 617-5948

NPI assigned

Sep 23, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Erika Helene Hendrix

Title

Executive Director

Phone

(336) 292-5478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1356777379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16851",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274160851",
            "telephone_number": "336-292-5478",
            "fax_number": "336-617-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W WENDOVER AVE",
            "address_2": "SUITE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071581",
            "telephone_number": "336-292-5478",
            "fax_number": "336-617-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MANAGEMENT SOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-292-5478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan House Creasy, FNP-C
• Creative Care Solutions LLC
• Creative Counseling Works, LLC
• Creative Custom Living, Inc.
• Creative Learning Home Care, LLC
• Crecer Speech and Language Therapy, PLLC
• Virginia Creed
• Brian Sanders Crenshaw, M.D.
• Chauncie D Crenshaw
• John Victor Cresenzo

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.