Organization Active NPI

Kreation Residential Services

  • Developmentally Disabled Services Day Training Agency
  • Indianapolis, IN
National Provider Identifier
1821576877
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
KREATION RESIDENTIAL SERVICES
Practice address
9941 E 42ND St
Indianapolis, IN 46235-1675
Phone
(317) 340-8481
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Jaquita Latress SavageNPI 1316426885
Title
Director
Phone
(317) 340-8481

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
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

9941 E 42ND St
Indianapolis, IN 46235-1675

Mailing address

9941 E 42ND St
Indianapolis, IN 46235-1675
Phone (317) 340-8481

National Provider Directory

National Provider Directory

Locations

9941 E 42nd St
Indianapolis, IN 46235
Phone (317) 340-8481

Practitioners & affiliated clinicians

Practitioners 1

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1821576877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9941 E 42ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462351675",
            "telephone_number": "317-340-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9941 E 42ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462351675",
            "telephone_number": "317-340-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATION RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "JAQUITA",
        "authorized_official_middle_name": "LATRESS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-340-8481"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.