OAKWOOD CREATIVE CARE INC.


Address: 247 N Macdonald, 102, Mesa, AZ 85201-6622
Phone: 4804641061

OAKWOOD CREATIVE CARE INC. (NPI# 1114388626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114388626
Entity Type Organization
Organization Name OAKWOOD CREATIVE CARE INC.
Practice Address 247 N Macdonald
102
Mesa
AZ 85201-6622
Practice Telephone 4804641061
Practice Fax Number 4804641166
Mailing Telephone 4804641061
Mailing Fax Number 4804641166
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Authorized Official Name SHERRI FRIEND (PRESIDENT AND CEO)
Authorized Official Telephone 4804641061
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
AL0164D AZ Ambulatory Health Care Facilities

Office Location

Street Address 247 N MACDONALD
102
City MESA
State AZ
Zip Code 85201-6622

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1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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Competitor

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City MESA
Zip Code 85201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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