Creative Community Care

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

CREATIVE COMMUNITY CARE

Practice address

1611 E 5TH St
Tyler, TX 75701-3432

Phone

(903) 595-5644

Fax

(903) 526-0881

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laura L Redman

Title

Ceo

Phone

(903) 595-5644

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992844757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013432",
            "telephone_number": "903-595-5644",
            "fax_number": "903-526-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013432",
            "telephone_number": "903-595-5644",
            "fax_number": "903-526-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-595-5644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrod R Crawford, D.D.S.
• Stacy Kay Crawley, M.S., CCC/SLP
• Jennifer Crayton, NP
• CRC Medical PLLC
• Robert Creath
• Patsy Credit
• Amy Leigh Creed, RN
• Whitney Lynn Creswell, LPC
• Brandon E. Crim, DPM
• Samantha Crim

• Intellectual Disabilities Intermediate Care Facility in Tyler, TX
• Providers in Tyler, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.