Creative Community Care in Tyler - Intermediate Care Facility, Intellectual Disabilities
Creative Community Care - NPI 1992844757
Creative Community Care is a Intermediate Care Facility, Intellectual Disabilities in Tyler, Texas. Creative Community Care practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Creative Community Care is 1992844757. The last update date is 2020-08-22.
Creative Community Care's current location address is 1611 E 5th St, Tyler, Texas. You can contact this provider via phone number 9035955644 and fax number 9035260881. The mailing address for Creative Community Care is 1611 E 5th St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creative Community Care |
|---|---|
| Address | 1611 E 5th St, Tyler, Texas |
| Phone Number | 9035955644 |
| Fax Number | 9035260881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Redman L Laura |
| Telephone Number | 9035955644 |
NPI Number Detail
| NPI Number | 1992844757 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1611 E 5th St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757013432 |
| Phone Number | 9035955644 |
| Fax Number | 9035260881 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Creative Community Care by the Centers for Medicare & Medicaid Services?
The Creative Community Care has been assigned the NPI (National Provider Identifier) 1992844757 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Creative Community Care?
The Creative Community Care is physically situated at 1611 E 5Th St, in the city of Tyler, state of TX, with the postal code 757013432.
What is Creative Community Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Creative Community Care is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992844757 to Creative Community Care?
The Centers for Medicare & Medicaid Services assigned the 1992844757 to Creative Community Care on 2007-02-06.
As of what date were the details pertaining to Creative Community Care last refreshed?
The information related to the Creative Community Care, including its address, specialty, and other relevant details, was last updated on 2020-08-22.