CREATIVE COMMUNITY CHOICES (NPI# 1285011056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285011056 |
| Entity Type | Organization |
| Organization Name | CREATIVE COMMUNITY CHOICES |
| Practice Address |
6704 Wilburn Drive Capitol Heights MD 20743 |
| Practice Telephone | 3012549553 |
| Mailing Telephone | 3012549553 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | JENNIFER HOOKER (PRESIDENT/CEO) |
| Authorized Official Telephone | 3012549553 |
| Authorized Official Credential | ABD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 01113193 | MD | Agencies |
| Street Address |
6704 WILBURN DRIVE |
| City | CAPITOL HEIGHTS |
| State | MD |
| Zip Code | 20743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417967 | Orimashe Abdulsalam Jimoh | Physical Therapist | 1801 Richie Station Court, Suite 200, Capitol Heights, MD 20743 | 2020-08-13 |
| 1184249633 | Breona Chanel Washington | Driver | 6974 Walker Mill Rd Apt A1, Capitol Heights, MD 20743 | 2020-06-10 |
| 1568931905 | Adedeji Charles Olagunju | Driver | 415 70th Street, Capitol Heights, MD 20743 | 2018-11-15 |
| 1568967917 | Niaisa Harvey | Technician | 5811 Walker Mill Rd, District Heights, MD 20743 | 2018-03-28 |
| 1083118582 | S Valencia Tyrell | Prevention Professional | 920 Capitol Heights Blvd, Suite #b, Capitol Heights, MD 20743 | 2018-03-20 |
| 1760901854 | Detailing Minds, Inc. | Secured Medical Transport (VAN) | 513 Millwheel Street, Capitol Heights, MD 20743 | 2017-09-11 |
| 1255860334 | Cornelia Reeder | Home Health Aide | 1110 Dunbar Oaks Dr, Capitol Heights, MD 20743 | 2017-06-12 |
| 1164978912 | Family and Medical Counseling Service, Inc | Clinic/Center | 5936 Martin Luther King Jr Hwy, Capitol Heights, MD 20743 | 2016-08-31 |
| 1629447297 | Tiffany Welch | Case Manager/Care Coordinator | 5290 Marlboro Pike, Apt 101, Capitol Heights, MD 20743 | 2015-09-24 |
| 1659740348 | Adventures One, Inc. | Clinic/Center | 5400 Norfield Rd., Capitol Heights, MD 20743 | 2015-09-23 |
| Find all providers in zip 20743 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089751 | Helping Others Foundation | Day Training, Developmentally Disabled Services | 12503 Blue Ponds Ter, Beltsville, MD 20705-6300 | 2020-09-23 |
| 1053926352 | Reunion Supports Services, Inc. | Day Training, Developmentally Disabled Services | 6527 Britannic Pl, Frederick, MD 21703-2751 | 2020-09-13 |
| 1184233280 | Ariela Sustainable Community Services, Inc. | Day Training, Developmentally Disabled Services | 20502 Quiet Valley Ct, Hagerstown, MD 21742-3184 | 2020-07-24 |
| 1942818653 | Fortune Health Care Services Inc | Day Training, Developmentally Disabled Services | 5903 Queen Anne St, Gwynn Oak, MD 21207-3918 | 2020-07-20 |
| 1356971436 | Comfort Sisi Healthcare Inc | Day Training, Developmentally Disabled Services | 8609 34th Ave, College Park, MD 20740-4409 | 2020-01-17 |
| 1114568961 | Golden Care of Washington Inc | Day Training, Developmentally Disabled Services | 6405 Grendel Pl, Bowie, MD 20720-5308 | 2019-10-02 |
| 1679120885 | Salvation Life Inc | Day Training, Developmentally Disabled Services | 10714 Marriottsville Rd, Randallstown, MD 21133-1312 | 2019-08-22 |
| 1861045239 | Supporting Services Integration, LLC | Day Training, Developmentally Disabled Services | 7167 Mill Run Dr, Derwood, MD 20855-1208 | 2019-07-24 |
| 1841850534 | Compassion Care Inc. | Day Training, Developmentally Disabled Services | 8 Hallsdale Ct, Rosedale, MD 21237-5009 | 2019-06-16 |
| 1447813407 | Therapetic Wellness Services Corp | Day Training, Developmentally Disabled Services | 6801 Belair Rd Apt Suite, Baltimore, MD 21206-1121 | 2019-04-16 |
| Find all providers with the same taxonomy | ||||
| City | CAPITOL HEIGHTS |
| Zip Code | 20743 |
Please comment or provide details below to improve the information on CREATIVE COMMUNITY CHOICES.
| 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.