Creative Care Health Concepts,LLC

Primary specialty

Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X

License

10086641 Issued in GA

Legal business name

CREATIVE CARE HEALTH CONCEPTS,LLC

Practice address

1943 Saybrook CT
Jonesboro, GA 30236-2681

Phone

(770) 478-6091

Fax

(770) 478-6875

NPI assigned

Feb 25, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Karen Marion Cheeseman

Title

President and Ceo

Phone

(770) 478-6091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1770880890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 SAYBROOK CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362681",
            "telephone_number": "770-478-6091",
            "fax_number": "770-478-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 SAYBROOK CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362681",
            "telephone_number": "770-478-6091",
            "fax_number": "770-478-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE HEALTH CONCEPTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "CHEESEMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "770-478-6091",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "GA",
            "license": "10086641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Latonya Cox, LPC
• CPG Private Home Care Providers, LLC
• Alyssa Craig, MS, BCBA
• Creative Care Concepts, Inc.
• Creative Care Consultants, LLC
• Creative Growth
• Amia Crockett
• Charnice Danielle Crowley, LMT
• Crown Health Care Services, Inc.
• Crown Personal Care Home

• Clinical Nurse Specialist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.