Creative Care LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

CREATIVE CARE LLC

Practice address

11401 Thunderbrush Cir
Anchorage, AK 99516-1728

Phone

(907) 903-0443

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Carolynn SmithNPI 1245728963

Title

Administrator

Phone

(907) 903-0443

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolynn Smith

  • Assisted Living Facility (Behavioral Disturbances)
  • Anchorage, AK
  • NPI 1245728963

  Assisted Living, Behavioral Disturbances

  NPD (past) Authorized official

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1700340627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 THUNDERBRUSH CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161728",
            "telephone_number": "907-903-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 THUNDERBRUSH CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161728",
            "telephone_number": "907-903-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-903-0443"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Crawford
• Jared E Crawford, PA-C
• Rachel Ann Crawford, CRNA
• Shawn Alexander Crawford
• Vicki Creasy
• Credena Health LLC
• Credena Health LLC
• Creed Mamikunian, MD
• Sara Crewdson, SA-C
• Jeffry Lee Crews, MS

• Assisted Living Facility (Behavioral Disturbances) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Behavioral Disturbances) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.