Creative Supports, Inc

Primary specialty

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

Legal business name

CREATIVE SUPPORTS, INC

Practice address

1511 NE Parvin Rd
Kansas City, MO 64116-2304

Phone

(816) 452-6194

Fax

(816) 454-3211

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Lanice Guyer

Title

Executive Director

Phone

(816) 452-6194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598828147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10586",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641880586",
            "telephone_number": "816-452-6194",
            "fax_number": "816-454-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NE PARVIN RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162304",
            "telephone_number": "816-452-6194",
            "fax_number": "816-454-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SUPPORTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUYER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-452-6194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney A Crawley, M.D.
• Vernesha N Creal
• Mackenzie Creason
• Creating Balance LLC
• Creative Solutions for Kids and Families
• Creative Wellness Center
• Alexander Credle, RRT
• Leah M Credle, RN, BSN
• Jennifer R Creed, M/OT
• Shelby Creek

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.