NPIMap

Organization Active NPI

Creative Care, LLC

  • Adult Day Care Clinic/Center
  • Westland, MI
National Provider Identifier
1669749057
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CREATIVE CARE, LLC
Practice address
917 S Merriman Rd
Westland, MI 48186-4951
Phone
(734) 344-0069
Fax
(734) 398-1271
NPI assigned
Nov 29, 2011
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Carman Andino
Title
Owner
Phone
(734) 895-6506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801089395 MI
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

917 S Merriman Rd
Westland, MI 48186-4951

Mailing address

917 S Merriman Rd
Westland, MI 48186-4951
Phone (734) 344-0069

National Provider Directory

National Provider Directory

Locations

36050 Goddard Rd
Romulus, MI 48174
Phone (734) 955-1555

25949 Eureka Rd
Taylor, MI 48180
Phone (734) 895-6506

Practitioners & affiliated clinicians

Practitioners 10

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": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1669749057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864951",
            "telephone_number": "734-344-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864951",
            "telephone_number": "734-344-0069",
            "fax_number": "734-398-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "ANDINO",
        "authorized_official_first_name": "CARMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-895-6506"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089395",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.