Organization Active NPI

Creative Solutions Companion Care Service

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1790528552
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CREATIVE SOLUTIONS COMPANION CARE SERVICE
Practice address
540 NW 165TH Street Rd Ste 301
Miami, FL 33169-6345
Phone
(561) 412-4077
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Anthony Lamont Bradford
Title
Ceo
Phone
(561) 313-3453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

540 NW 165TH Street Rd Ste 301
Miami, FL 33169-6345

Mailing address

540 NW 165TH Street Rd Ste 301
Miami, FL 33169-6345

National Provider Directory

National Provider Directory
Tax ID family
Creative Solutions Companion Care Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

540 NW 165th Street Rd
Ste 301
Miami, FL 33169
Phone (305) 301-6677

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1790528552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW 165TH STREET RD STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW 165TH STREET RD STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696345",
            "telephone_number": "561-412-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SOLUTIONS COMPANION CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-313-3453"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.