Creatively Changing Lives Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CREATIVELY CHANGING LIVES INC

Practice address

5000 State Road 54
New Port Richey, FL 34652-5908

Phone

(727) 337-3526

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Mitsch Beague

Title

Owner

Phone

(727) 337-3526

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Ashley Beague

  • Behavior Technician
  • Wimauma, FL
  • NPI 1740790609
  NPD
• Garphard Beague

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Holiday, FL
  • NPI 1831793223
  NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1750142667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 LINDER PL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525908",
            "telephone_number": "727-337-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVELY CHANGING LIVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BEAGUE",
        "authorized_official_first_name": "MITSCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-337-3526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George W Courtney III, D.C.
• Jacques E Cowart, PA-C
• Paul L Cox, DC
• Macy R Crawford
• Triste Lou Crawford
• Suzanne Crenshaw, RDH
• Sharon Lynn Creveling
• Cristina Mantilla, LMHC, LLC
• Liz Cristofano, D.D.S.
• Crooked Tale to Recovery, Inc.

• Developmentally Disabled Services Day Training Agency in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.