Creative Innervisions LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CREATIVE INNERVISIONS LLC

Practice address

1616 E Indian School Rd Ste 415
Phoenix, AZ 85016-8604

Phone

(602) 265-8007

Fax

(602) 265-8013

NPI assigned

Mar 1, 2012

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lillian R Davis

Title

Owner/ Managing Dircetor

Phone

(602) 265-8007

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1538433057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 415",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168604",
            "telephone_number": "602-265-8007",
            "fax_number": "602-265-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 415",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168604",
            "telephone_number": "602-265-8007",
            "fax_number": "602-265-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE INNERVISIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ MANAGING DIRCETOR",
        "authorized_official_telephone_number": "602-265-8007",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CRC Chiropractic,L.L.C.
• Jamila Creary
• Charles Michael Creasman, M.D.
• Creative Consciousness Health and Wellness
• Creative Continuum Therapy LLC (Creative Continuum Therapy)
• Creative Life
• Creative Life Skills Development, Inc
• Creative Networks, L.L.C. (All Ways Caring HomeCare)
• Creative Networks, L.L.C.
• Creative Networks, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.