Creation Care Services Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

CREATION CARE SERVICES INC

Practice address

3292 Plumlee CT
Grand Island, FL 32735-9013

Phone

(352) 551-4840

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Patricia McKenzieNPI 1063932317

Title

President

Phone

(352) 551-4840

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.

• Patricia McKenzie

  • Developmental Disabilities Clinic/Center
  • Grand Island, FL
  • NPI 1063932317
  NPD Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780104034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 PLUMLEE CT",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359013",
            "telephone_number": "352-551-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 PLUMLEE CT",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359013",
            "telephone_number": "352-551-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATION CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-551-4840"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Brant, OT
• Breathing Clinic
• Shane Bridgman, DNP, APRN, AGNP-BC
• Patricia Elaine Brown I
• Caring Hearts of Love, LLC
• Alan Rembrandt Damon
• Phillip M Dascher, MD
• Cheerly Dela Cruz Clifton, CHEERLY
• Emerald Green Limousine Services,Inc
• First Line Health

• Developmental Disabilities Clinic/Center in Grand Island, FL
• Providers in Grand Island, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.