Organization Active NPI

Creative Care Family Service LLC

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1962937466
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CREATIVE CARE FAMILY SERVICE LLC
Practice address
3871 N 35TH St
# 202
Milwaukee, WI 53216-3075
Phone
(414) 793-1332
NPI assigned
Apr 22, 2017
Last updated
Apr 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

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

Authorized official

Name
Miss Keyana L Danner
Title
Owner
Phone
(414) 793-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3871 N 35TH St
# 202
Milwaukee, WI 53216-3075

Mailing address

3871 N 35TH St
# 202
Milwaukee, WI 53216-3075
Phone (414) 793-1332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492819200000",
    "number": "1962937466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 N 35TH ST",
            "address_2": "# 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163075",
            "telephone_number": "414-793-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 N 35TH ST",
            "address_2": "# 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163075",
            "telephone_number": "414-793-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE FAMILY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "KEYANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-793-1332",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.