Organization Active NPI

Creative Care Solutions LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1962748525
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Dec 28, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.