Kreeative Developmental Disability Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KREEATIVE DEVELOPMENTAL DISABILITY SERVICES

Practice address

111 Chickasaw PL
Jacksonville, AR 72076-1905

Phone

(501) 472-8352

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Raniesha Parker

Title

Ceo, President

Phone

(501) 472-8352

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1962243915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHICKASAW PL",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720761905",
            "telephone_number": "501-472-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHICKASAW PL",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720761905",
            "telephone_number": "501-472-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREEATIVE DEVELOPMENTAL DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RANIESHA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "501-472-8352",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Knight, DDS
• Melanie Knowlton, CCC-SLP
• Morgan Victoria Kopaska, LMSW
• Jennifer Kordsmeier
• Corey Kramer
• Kroger Limited Partnership I (Kroger Pharmacy)
• Janice C. Kucala, MS, LPC
• Amy Jo Lancaster, M.S.
• Lane Eye Care Center, P.a.
• Josilyn Camille Law, PHD

• In Home Supportive Care Agency in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.