Organization Active NPI

Creative Solutions 4 Kids and Families LLC

  • Community/Behavioral Health Agency
  • Hollywood, FL
National Provider Identifier
1750601373
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE SOLUTIONS 4 KIDS AND FAMILIES LLC
Practice address
4700 Sheridan St
Suite J
Hollywood, FL 33021-3420
Phone
(954) 832-3602
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Ms. Devina CruickshankNPI 1275766933
Title
Member/Manager
Phone
(954) 832-3602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4700 Sheridan St
Suite J
Hollywood, FL 33021-3420

Mailing address

4700 Sheridan St
Suite J
Hollywood, FL 33021-3420
Phone (954) 832-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000350 FL Part B Supplier - Clinic/Group Practice 6709059371 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

4700 Sheridan St
Ste J
Hollywood, FL 33021
Phone (954) 832-3602

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1750601373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE J",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-832-3602",
            "fax_number": "954-272-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE J",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-832-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SOLUTIONS 4 KIDS AND FAMILIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "CRUICKSHANK",
        "authorized_official_first_name": "DEVINA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "954-832-3602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.