NPIMap

Organization Active NPI

Creative Independence Alliance, Corp.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1841734993
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
31783601 Issued in PA
Legal business name
CREATIVE INDEPENDENCE ALLIANCE, CORP.
Practice address
1212 E Chelten Ave
Philadelphia, PA 19138-1929
Phone
(215) 385-4404
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Pamela Pendleton
Title
President/Ceo
Phone
(215) 385-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 31783601 PA Primary

Addresses

Primary practice location

1212 E Chelten Ave
Philadelphia, PA 19138-1929

Mailing address

1212 E Chelten Ave
Philadelphia, PA 19138-1929
Phone (215) 385-4404

National Provider Directory

National Provider Directory
Tax ID family
Creative Independence Alliance Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1841734993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381929",
            "telephone_number": "215-385-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381929",
            "telephone_number": "215-385-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE INDEPENDENCE ALLIANCE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-385-4404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "31783601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.