Creative Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3477 Issued in NC

Legal business name

CREATIVE HOME HEALTH CARE LLC

Practice address

311 Trindale Rd
Archdale, NC 27263-2751

Phone

(336) 861-5263

Fax

(336) 861-5263

NPI assigned

Nov 12, 2006

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Dale Jones

Title

Owner President

Phone

(336) 861-5263

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris Jones

  • In Home Supportive Care Agency
  • Archdale, NC
  • NPI 1508005323
  NPD (past)
• Kevin M Jones

  • Medical Physician Assistant
  • Jamestown, NC
  • NPI 1093955494
  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1992876031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4805",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272634805",
            "telephone_number": "336-861-5263",
            "fax_number": "336-861-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 TRINDALE RD",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632751",
            "telephone_number": "336-861-5263",
            "fax_number": "336-861-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "336-861-5263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Claus
• Jacqueline Clemons, LOTR
• Russell Floyd Cole, LCAS
• Diana Bernice Muth Cooper, PMHNP
• Cornerstone Health Care PA (Cornerstone Family Medicine at Archdale)
• Annemarie D'Andrea
• Mark Andrew Daly
• Jill Lane Davis, RPH
• Tar Davis
• Daymark Recovery Services Inc

• Home Health Agency in Archdale, NC
• Providers in Archdale, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.