CREATIVE LIFE OPTIONS, LLC


Address: 102 Stockton Sq, Pottstown, PA 19465-7599
Phone: 6104690023

CREATIVE LIFE OPTIONS, LLC (NPI# 1235447111) 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) 1235447111
Entity Type Organization
Organization Name CREATIVE LIFE OPTIONS, LLC
Practice Address 102 Stockton Sq
Pottstown
PA 19465-7599
Practice Telephone 6104690023
Mailing Telephone 6104690023
Enumeration Date 2010-09-14
Last Update Date 2010-09-14
Authorized Official Name MR. JEFFREY NILES KOFSKY (MANAGING PARTNER)
Authorized Official Telephone 6104690023
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251X00000X Supports Brokerage Agencies

Office Location

Street Address 102 STOCKTON SQ
City POTTSTOWN
State PA
Zip Code 19465-7599

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1720088404 Dana Nicole Adelizzi Physical Therapist 10 Glocker Way, Pottstown, PA 19465 2005-07-26
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1346792967 Christina Bernal Physical Therapist 3031 Chestnut Hill Rd, Pottstown, PA 19465 2016-10-31
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Taxonomy Information

Taxonomy Code 251X00000X
Grouping Agencies
Classification Supports Brokerage

Taxonomy Definition

A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new]

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Competitor

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City POTTSTOWN
Zip Code 19465

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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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