Creative Hospice Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

038-0366-H Issued in GA

Legal business name

CREATIVE HOSPICE CARE, INC

Practice address

772 Greison Trail
Suite H
Newnan, GA 30263-2758

Phone

(678) 423-3330

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

John Kerndl

Title

Cfo & Secretary

Phone

(979) 704-6547

Specialties & licenses 1

Addresses

Other names 1

• Traditions Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Creative Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Jackson, GA
  • NPI 1003192477

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crista Jonte' Ivory, NP

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1346737582
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1366728735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 CAROTHERS PKWY STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678002",
            "telephone_number": "979-704-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 GREISON TRAIL",
            "address_2": "SUITE H",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632758",
            "telephone_number": "678-423-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "KERNDL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO & SECRETARY",
        "authorized_official_telephone_number": "979-704-6547"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "038-0366-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cranford, Powell and Morris Advanced Surgical Specialists, L.L.C.
• Cranford, Powell, and Morris Advanced Surgical Specialists LLC
• Melvina Darice Crawl, LPC , NCC, NCSC
• Ziacala Mique Crayton
• Creative Counseling Ventures LLC
• Michael John Credidio, PSYD
• Brittany Crenshaw, CSFA
• Crimson Mental Health and Wellness LLC
• Crimson Therapy Services LLC
• Asia Crittenden

• Community Based Hospice Care Agency in Newnan, GA
• Providers in Newnan, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.