Creations Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREATIONS HEALTH CARE INC

Practice address

247 N Main St Ste 13
Randolph, MA 02368-4172

Phone

(617) 435-4633

NPI assigned

Feb 20, 2014

Organization subpart

No

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

Authorized official

Name

Nirva Berthold, CEO, RN

Title

Ceo

Phone

(617) 435-4633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227709

Legal name

CREATIONS HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 12, 2018

Last certification

Jan 12, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 26, 2013 in MA

Enrollment address

247 N Main St
Ste 13
Randolph, MA 02368
HHA Branch

Listed as

Creations Health Care, IncCCN 227709

Ownership

Proprietary

Certified

Jan 12, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nirva Lafontant, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1760119226

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Nirva Lafontant, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1760119226
  NPD

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1790100212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N MAIN ST STE 13",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684172",
            "telephone_number": "617-435-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N MAIN ST STE 13",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684172",
            "telephone_number": "617-435-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIONS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BERTHOLD",
        "authorized_official_first_name": "NIRVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-435-4633",
        "authorized_official_credential": "CEO, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cordero
• Core Physical Therapy & Performance, LLC
• Sarah S Correia, DOCTOR OF PHARMACY
• Karly F Covall
• Creations Health Care Inc
• Ana Lucia Crespo-Contis
• Sullybeth Crespo-Gonzalez
• Cassandra Adelia Crichlow, OTR/L
• Heather Dawn Crockett
• Kelly Cronin, DPT

• Home Health Agency in Randolph, MA
• Providers in Randolph, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.