CREATIVE SUPPORTS, INC (NPI# 1598828147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598828147 |
| Entity Type | Organization |
| Organization Name | CREATIVE SUPPORTS, INC |
| Practice Address |
1511 Ne Parvin Rd Kansas City MO 64116-2304 |
| Mailing Address |
Po Box 10586 Kansas City MO 64188-0586 |
| Practice Telephone | 8164526194 |
| Practice Fax Number | 8164543211 |
| Mailing Telephone | 8164526194 |
| Mailing Fax Number | 8164543211 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DANA LANICE GUYER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8164526194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CREATIVE SUPPORTS, INC. | 930 W Eighth St, Medford, OR 97501 |
| Street Address |
1511 NE PARVIN RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64116-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1003338328 | Joystar Group Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 748 E 124th St, Kansas City, MO 64146-1100 | 2017-07-07 |
| 1508190562 | Anything Is Possible | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8308 E 93rd St, Kansas City, MO 64138-4609 | 2009-09-23 |
| 1275866881 | Charles Mutumba | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9807 Wornall Rd, #d, Kansas City, MO 64114-3986 | 2009-09-14 |
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1033375316 | Inga's Place, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11601 Bennington Ave, Kansas City, MO 64134-3714 | 2008-08-05 |
| 1245404953 | Aleisa Horne | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8304 E 91st St, Kansas City, MO 64138-4347 | 2008-04-15 |
| 1972776789 | Hope Care Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11704 Winchester Ave Apt 3, Kansas City, MO 64134-3831 | 2008-04-12 |
| 1649443664 | Greater Kansas City Foundation for Citizens With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 N White Ave, Kansas City, MO 64123-1556 | 2008-04-10 |
| 1467625483 | Greater Kansas City Foundation for Citizens With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3219 Lexington Ave, Kansas City, MO 64124-1949 | 2008-04-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64116 |
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| 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.