Creative Lifestyles Home Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CREATIVE LIFESTYLES HOME CARE INC

Doing business as

Montiano Residential Care

Practice address

1022 W Florence Ave
Los Angeles, CA 90044-2442

Phone

(323) 758-9539

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Clarel Martine

Title

Ceo

Phone

(323) 758-9539

Specialties & licenses 2

Addresses

Other names 1

• Montiano Residential Care Doing business as

Locations

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1821655507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442442",
            "telephone_number": "323-758-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442442",
            "telephone_number": "323-758-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIFESTYLES HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "MARTINE",
        "authorized_official_first_name": "CLAREL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-758-9539"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montiano Residential Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montiano Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.