Creative Innovation Afh LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREATIVE INNOVATION AFH LLC

Doing business as

Creative Innovation AFH LLC

Practice address

7835 197TH Ave E
Bonney Lake, WA 98391-7118

Phone

(725) 600-2328

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By 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

Tareg Omer

Title

Provider

Phone

(725) 600-2328

Specialties & licenses 1

Addresses

Other names 1

• Creative Innovation AFH LLC Doing business as

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1902683626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 197TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917118",
            "telephone_number": "725-600-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 197TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917118",
            "telephone_number": "725-600-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE INNOVATION AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "OMER",
        "authorized_official_first_name": "TAREG",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "725-600-2328"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Innovation AFH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sonya A Cottrell, PA-C
• William James Cousins IV, DPT
• Ashley Lynn Cowger, DC
• Karen Lynn Craig, MA, LMHC
• Mikayla Ann Creswell, DPT
• Misty Marie Crick-Goodman, LE
• Sonya Crouch, PHARMD
• Rachael C Crowder, COTA
• Bruce Gerald Cudahy, O.D.

• Home Health Agency in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.