Creative Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

15709 Issued in MN

Legal business name

CREATIVE CARE SERVICES, LLC

Practice address

4167 Lyndale Ave N Ste 301
Minneapolis, MN 55412-1737

Phone

(612) 545-5290

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By 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

Yer Yang

Title

Program Director

Phone

(612) 545-5290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1568849768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4167 LYNDALE AVE N STE 301",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121737",
            "telephone_number": "612-545-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 LYNDALE AVE N STE 301",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121737",
            "telephone_number": "612-545-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "YER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-545-5290"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "15709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LIC",
            "identifier": "15709",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Crawford
• Nora Griffin Crawford, APRN, CRNA
• Theresa J Crawford, LMFT
• Jamiya Crayton
• Megan C Creasey, LPCC
• Creative Psychopharmacology Inc
• Creative Thinkers LLC
• Nathaniel I Cree, NP
• Tyler James Creelman
• Jae Christine Creger, MD

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.