Creative Health Care Solutions, Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

CREATIVE HEALTH CARE SOLUTIONS, INC.

Practice address

221 Eagles Cove Cir
North Prairie, WI 53153-9628

Phone

(414) 431-9411

Fax

(414) 778-0242

NPI assigned

Jan 23, 2007

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marsha Ann Snyder, M.S.W.

Title

President

Phone

(414) 431-9411

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1881748036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 EAGLES COVE CIR",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "531539628",
            "telephone_number": "414-431-9411",
            "fax_number": "414-778-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 EAGLES COVE CIR",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "531539628",
            "telephone_number": "414-431-9411",
            "fax_number": "414-778-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALTH CARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-431-9411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey L Blankenmeyer, MSCCC-SLP
• Dawn Galagan-Rodriguez, RN, MSN
• Jessica M Grubb, OT
• Kellen Joseph Ibiza, CNC
• Journey Chiropractic LLC
• Michelle Lichtenberg, OT

• Assisted Living Facility (Behavioral Disturbances) in North Prairie, WI
• Providers in North Prairie, WI by specialty
• Assisted Living Facility (Behavioral Disturbances) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.