Creative Living Community Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCA0000240 Issued in CT

Legal business name

CREATIVE LIVING COMMUNITY CARE, LLC

Practice address

200 High St.
Windsor, CT 06095-1100

Phone

(860) 640-0660

Fax

(860) 640-4836

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Clement Pownall

Title

President

Phone

(860) 640-0660

Specialties & licenses 6

Addresses

Other names 1

• CHRISTIAN LIVING COMMUNITY CARE, LLC Former legal business name

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1831562842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH ST.",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951100",
            "telephone_number": "860-640-0660",
            "fax_number": "860-640-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH ST.",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951100",
            "telephone_number": "860-640-0660",
            "fax_number": "860-640-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "POWNALL",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-640-0660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "HCA0000240",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTIAN LIVING COMMUNITY CARE, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Windsor, CT
• Providers in Windsor, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.