Creative Growth

Primary specialty

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

Legal business name

CREATIVE GROWTH

Practice address

9695 Washington Cir
Jonesboro, GA 30238-6094

Phone

(678) 361-8053

Fax

(678) 479-0293

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Gloria L Bordain

Title

Director

Phone

(678) 361-8053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1609045608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 WASHINGTON CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386094",
            "telephone_number": "678-361-8053",
            "fax_number": "678-479-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 WASHINGTON CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386094",
            "telephone_number": "678-361-8053",
            "fax_number": "678-479-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE GROWTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BORDAIN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-361-8053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPG Private Home Care Providers, LLC
• Alyssa Craig, MS, BCBA
• Creative Care Concepts, Inc.
• Creative Care Consultants, LLC
• Creative Care Health Concepts,LLC
• Amia Crockett
• Charnice Danielle Crowley, LMT
• Crown Health Care Services, Inc.
• Crown Personal Care Home
• Bronwynn W Crutchfield, M.ED., CCC-SLP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.