Organization Active NPI

Creative Options & Employment, LLC

  • Developmentally Disabled Services Day Training Agency
  • Riverdale, MD
National Provider Identifier
1376692723
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CREATIVE OPTIONS & EMPLOYMENT, LLC
Practice address
4705 Queensbury Rd
Riverdale, MD 20737-1920
Phone
(301) 779-3890
Fax
(866) 891-8163
NPI assigned
Jan 8, 2007
Last updated
May 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2008

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

Authorized official

Name
Mrs. Alana Powell
Title
Chief Executive Officer
Phone
(301) 779-3890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

4705 Queensbury Rd
Riverdale, MD 20737-1920

Mailing address

4705 Queensbury Rd
Riverdale, MD 20737-1920
Phone (301) 779-3890

Other identifiers 1

IdentifierTypeStateIssuer
035752900MedicaidDC

Other names 1

  • Creative Options Other name

National Provider Directory

National Provider Directory

Locations

4705 Queensbury Rd
Riverdale, MD 20737
Phone (301) 779-3890

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1376692723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 QUEENSBURY RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371920",
            "telephone_number": "301-779-3890",
            "fax_number": "866-891-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 QUEENSBURY RD",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371920",
            "telephone_number": "301-779-3890",
            "fax_number": "866-891-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OPTIONS & EMPLOYMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-779-3890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035752900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Options",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.