Organization Active NPI

Creative Therapy Services, LLC

  • Home Health Agency
  • Rio Rancho, NM
National Provider Identifier
1588890875
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1795 Issued in NM
Legal business name
CREATIVE THERAPY SERVICES, LLC
Practice address
2003 Southern Blvd SE
Ste 133
Rio Rancho, NM 87124-3751
Phone
(505) 891-3999
Fax
(505) 821-7671
NPI assigned
Jun 1, 2009
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mrs. Hollye Ann Kozlowski, OTR/L
Title
Owner/Manager
Phone
(505) 891-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1795 NM Primary

Addresses

Primary practice location

2003 Southern Blvd SE
Ste 133
Rio Rancho, NM 87124-3751

Mailing address

2003 Southern Blvd SE
Ste 133
Rio Rancho, NM 87124-3751
Phone (505) 891-3999

Other identifiers 1

IdentifierTypeStateIssuer
A0348MedicaidNM

National Provider Directory

National Provider Directory

Locations

2003 Southern Blvd SE
Ste 133
Rio Rancho, NM 87124
Phone (505) 221-5740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1588890875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SOUTHERN BLVD SE",
            "address_2": "STE 133",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243751",
            "telephone_number": "505-891-3999",
            "fax_number": "505-821-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 SOUTHERN BLVD SE",
            "address_2": "STE 133",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243751",
            "telephone_number": "505-891-3999",
            "fax_number": "505-821-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "HOLLYE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "505-891-3999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0348",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.