Creekside Investments

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-044-032 Issued in NC

Legal business name

CREEKSIDE INVESTMENTS

Practice address

465 Boyd Ave
Waynesville, NC 28786-4317

Phone

(828) 456-9240

Fax

(828) 456-9012

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Kathy R Green

Title

Administrator

Phone

(828) 456-9240

Specialties & licenses 1

Addresses

Other names 1

• Queen Retirement Doing business as

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1891017489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BOYD AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287864317",
            "telephone_number": "828-456-9240",
            "fax_number": "828-456-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BOYD AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287864317",
            "telephone_number": "828-456-9240",
            "fax_number": "828-456-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-456-9240"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-044-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Haywood
• County of Haywood
• Coy a Brown, OD PA
• Abby Crahan
• Sarah Long Cranford
• Lora Cretella
• Gina Crider
• Joanna Cross
• Jamie L. Currid, LCSW
• Kayla Cypher, LCSW

• All providers in Waynesville, NC
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.