Active NPI
Creative Care Solutions LLC
- Community/Behavioral Health Agency
- Greensboro, NC
National Provider Identifier
1962748525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CREATIVE CARE SOLUTIONS LLC
- Practice address
- 3723 W Market St
Suite B
Greensboro, NC 27403-1590 - Phone
- (336) 542-5695
- Fax
- (866) 936-0112
- NPI assigned
- Dec 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Strader
- Title
- Executive Director
- Phone
- (336) 542-5695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3723 W Market St
Suite B
Greensboro, NC 27403-1590
Mailing address
PO Box 19012
Greensboro, NC 27419-9012
Phone (336) 542-5695
National Provider Directory
National Provider DirectoryLocations
3723 W Market St
Ste B
Greensboro, NC 27403
Phone (336) 299-6343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356652800000",
"number": "1962748525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19012",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274199012",
"telephone_number": "336-542-5695",
"fax_number": "866-936-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 W MARKET ST",
"address_2": "SUITE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031590",
"telephone_number": "336-542-5695",
"fax_number": "866-936-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE CARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-28",
"last_updated": "2012-12-28",
"status": "A",
"authorized_official_last_name": "STRADER",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-542-5695"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.