Creative Care Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

750575 Issued in WA

Legal business name

CREATIVE CARE INC.

Practice address

1127 Sunset St
Richland, WA 99354-2434

Phone

(509) 943-6292

Fax

(509) 946-5106

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Valerie Faye Johnson, RN00137531

Title

President

Phone

(509) 460-1825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1669895454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 JUDSON AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542944",
            "telephone_number": "509-460-1825",
            "fax_number": "509-943-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 SUNSET ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542434",
            "telephone_number": "509-943-6292",
            "fax_number": "509-946-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-460-1825",
        "authorized_official_credential": "RN00137531"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "750575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lauren Craig
• Ross M Craig, MPT
• Shona Sutherland Craig, DPT
• Douglas W Crawford, D.O.
• Michelle Diane Crawford, FNP-C
• Tashi Lois Creft, MD
• Heather Creigh
• Kelsey Aurelia Cress
• Derreck J Crews, DPT
• Adrian Roy Punzalan Crisostomo, M.D.

• Adult Care Home Facility in Richland, WA
• Providers in Richland, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.