Kreative Kare Homes

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KREATIVE KARE HOMES

Practice address

534 Elk Spur St
Elkin, NC 28621-3206

Phone

(704) 241-5709

NPI assigned

Jul 11, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Daresha R Lakey

Title

Chief Operating Officer

Phone

(704) 241-5709

Specialties & licenses 4

Addresses

Other names 1

• Kreative Kare Homes Doing business as

Locations

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1497592992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 RHUIDEAN CT",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660249",
            "telephone_number": "704-241-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 ELK SPUR ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213206",
            "telephone_number": "704-241-5709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Rhuidean Ct",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "281660249",
            "country_code": "US",
            "telephone_number": "704-241-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KREATIVE KARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "LAKEY",
        "authorized_official_first_name": "DARESHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "704-241-5709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kreative Kare Homes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kreative Kare Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristin Clickett Laster, CRNA
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• Mark Edward Lawson, CRNA

• Developmentally Disabled Services Day Training Agency in Elkin, NC
• Providers in Elkin, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.