Creative Senior in Home Care Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CREATIVE SENIOR IN HOME CARE SERVICE LLC

Practice address

6151 Lake Osprey Dr FL 3
Lakewood Ranch, FL 34240-8419

Phone

(941) 373-1400

Fax

(941) 373-1401

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Earl Acosta

Title

Owner

Phone

(813) 995-5574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1972006286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 LAKE OSPREY DR FL 3",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408419",
            "telephone_number": "941-373-1400",
            "fax_number": "941-373-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 LAKE OSPREY DR FL 3",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408419",
            "telephone_number": "941-373-1400",
            "fax_number": "941-373-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SENIOR IN HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-995-5574"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Covino, PHARM D
• Amanda Cowie
• Christie Eastman Craighead, D.M.D., M.S.
• Cathy Crawford
• Kristen Crawford, MS, CCC-SLP
• Crestwood Family Dental
• Austin Thomas Cripe, MD
• Meghan Taran Cross
• Audrey Crow
• Jessica Cummings

• Home Health Agency in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.