Organization Active NPI

Creightor, LLC

  • In Home Supportive Care Agency
  • Abilene, TX
National Provider Identifier
1679801369
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
011817 Issued in TX
Legal business name
CREIGHTOR, LLC
Doing business as
Visiting Angels
Practice address
1500 Industrial Blvd
Suite #209
Abilene, TX 79602-7969
Phone
(325) 437-9500
Fax
(325) 437-9501
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Mr. Benjie Polnick
Title
Director
Phone
(325) 437-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 011817 TX Primary

Addresses

Primary practice location

1500 Industrial Blvd
Suite #209
Abilene, TX 79602-7969

Mailing address

1500 Industrial Blvd
Suite #209
Abilene, TX 79602-7969
Phone (325) 437-9500

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

1500 Industrial Blvd
Ste 209
Abilene, TX 79602
Phone (325) 437-9500

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1679801369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 INDUSTRIAL BLVD",
            "address_2": "SUITE #209",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027969",
            "telephone_number": "325-437-9500",
            "fax_number": "325-437-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 INDUSTRIAL BLVD",
            "address_2": "SUITE #209",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027969",
            "telephone_number": "325-437-9500",
            "fax_number": "325-437-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "POLNICK",
        "authorized_official_first_name": "BENJIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-437-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "011817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.