Creative Living Centers, Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL5888 Issued in FL

Legal business name

CREATIVE LIVING CENTERS, INC

Practice address

521 E Beach Dr
Panama City, FL 32401-3247

Phone

(850) 763-3655

Fax

(850) 763-9048

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Verna Lamore Connor

Title

Director

Phone

(850) 763-3655

Specialties & licenses 4

Addresses

Other names 1

• cove manor retirement Doing business as

Locations

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1659611788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E BEACH DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013247",
            "telephone_number": "850-763-3655",
            "fax_number": "850-763-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E BEACH DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013247",
            "telephone_number": "850-763-3655",
            "fax_number": "850-763-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "VERNA",
        "authorized_official_middle_name": "LAMORE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-763-3655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5888",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5888",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "140191200",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "AL5888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cove manor retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie W Cox, MS, LMHC
• Lori Cox, P.T.
• Regina Cox, LMHC
• Amanda Crabtree, LMHC
• Nicki Crawford
• Greer Michelle Creehan
• Amanda Dawn Crenshaw, LMT
• Stephanie Cress
• Dominique Crisafi, CRNA
• Kenalyn M. Cromwell, M.S., CCC-SLP

• Assisted Living Facility (Mental Illness) in Panama City, FL
• Providers in Panama City, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.