Creative Lifestyles

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CREATIVE LIFESTYLES

Doing business as

Faith Manor

Practice address

1832 Arlington Ave
Los Angeles, CA 90019-6224

Phone

(323) 737-2310

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Clarel Martine

Title

President

Phone

(661) 809-6077

Specialties & licenses 1

Addresses

Other names 1

• Faith Manor Doing business as

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1740850437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191154",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900199154",
            "telephone_number": "661-809-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ARLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196224",
            "telephone_number": "323-737-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIFESTYLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "MARTINE",
        "authorized_official_first_name": "CLAREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-809-6077"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Create Health
• Create Realistic Change Inc
• Createdhair Designs, LLC (Createdhair.com and Salons)
• Creating Beautiful Minds Family Therapy Inc.
• Creating Intuition
• Creative Lifestyles Home Care Inc (Montiano Residential Care)
• Creative Nutrition
• Alicia R. Crecelius, MD
• Gia Crecelius, MD
• Ashley Credle

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.