CREATIVE CARE (NPI# 1700340627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700340627 |
| Entity Type | Organization |
| Organization Name | CREATIVE CARE |
| Practice Address |
11401 Thunderbrush Cir Anchorage AK 99516-1728 |
| Practice Telephone | 9079030443 |
| Mailing Telephone | 9079030443 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | CAROLYNN SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 9079030443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Creative Care Assisted Living Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358198 | Creative Care | Clinic/Center | 2442 23rd St N, St Petersburg, FL 33713-4018 | 2020-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CREATIVE CARE & POWER LLC | 1967 Wehrle Drive, Suite 1 #086, Buffalo, Ny 14221 |
| Washington State Corporations | CREATIVE CARE A F H, INC | 15520 33rd Ave Ne, Lake Forest Park, WA 98155 |
| Colorado Business Entities | Creative Care and Wellness, PLLC | 922 E 22nd Ave, Denver, CO 80205 |
| Colorado Business Entities | Creative Care BPO, LLC | 860 Grapevine Ct, Prosper, TX 75078 |
| Colorado Business Entities | Creative care by Cynthia "LLC" | 6820 Dale Rd, Colorado Springs, CO 80915 |
| Connecticut Business Registrations | CREATIVE CARE CONSULTANTS LLC | 58 Warpus Road, Madison, CT 06443 |
| Iowa Business Entities | CREATIVE CARE COORDINATORS, LLC | 4687 Rapid Creek Tr Ne, Iowa City, IA 52240 |
| Connecticut Business Registrations | CREATIVE CARE DAYCARE, LLC | 1127 Old Colchester Road, Oakdale, CT 06370 |
| New York State Corporations | CREATIVE CARE GROUP INC | 8924 Woodhaven Blvd, Woodhaven, New York 11421 |
| Washington State Corporations | CREATIVE CARE INC | 1604 Judson Ave, Richland, WA 99352 |
| Street Address |
11401 THUNDERBRUSH CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99516-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245728963 | Carolynn Smith | Assisted Living Facility | 11401 Thunderbrush Cir, Anchorage, AK 99516-1728 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
| 1184038457 | Christine L Longly | Nurse Practitioner | 11331 Ridgecrest Drive, Anchorage, AK 99516 | 2014-06-16 |
| 1700136033 | Marathon Sports and Orthopedics | Durable Medical Equipment & Medical Supplies | 7701 Upper Dearmoun Road, Anchorage, AK 99516 | 2012-09-13 |
| 1164796389 | Karen Coombs-marcey | Pharmacist | 11300 Mael St, Anchorage, UT 99516 | 2012-03-06 |
| 1265616783 | Karen Pudge Dba Forget-me-not Care Coordination | Case Manager/Care Coordinator | 4350 E 145th Avenue, Anchorage, AK 99516 | 2007-12-19 |
| 1588640122 | Debbie A Dragich | Anesthesiology | 11019 Baronik St, Anchorage, AK 99516 | 2005-12-15 |
| 1427665280 | Alaska Monitoring Associates, Inc. | Specialist/Technologist, Other | 11641 Woodbourne Dr, Anchorage, AK 99516-1279 | 2020-09-25 |
| 1306170931 | Heather Reier | Doula | 11026 Forest Dr, Anchorage, AK 99516-1303 | 2009-09-30 |
| 1487284741 | Kirt J Beck | Registered Nurse | 11548 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2020-01-24 |
| 1972735272 | Susan Veatch Pettis | Physical Therapist | 11551 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2009-08-20 |
| Find all providers in zip 99516 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053886010 | Sunrise Community Living | Assisted Living Facility | 1707 Sunrise Dr, Anchorage, AK 99508-3347 | 2018-10-05 |
| 1124501200 | Feh's Humanitarina LLC | Assisted Living Facility | 2948 Kimberlie Ct, Anchorage, AK 99508-5331 | 2018-09-13 |
| 1629562897 | Lilyann's Home Care Inc. | Assisted Living Facility | 935 Norman St, Anchorage, AK 99504-1617 | 2018-06-20 |
| 1245728963 | Carolynn Smith | Assisted Living Facility | 11401 Thunderbrush Cir, Anchorage, AK 99516-1728 | 2018-04-27 |
| 1912448069 | Famacare LLC | Assisted Living Facility | 10979 Retreat Cir, Anchorage, AK 99515-2449 | 2017-03-09 |
| 1508302621 | Sauda's Helping Hands Assistant Living Home | Assisted Living Facility | 1735 Katrina Cir, Anchorage, AK 99508-3514 | 2017-01-12 |
| 1417304528 | Malupo's Haven Assisted Living Home LLC | Assisted Living Facility | 7221 Kiska Cir, Anchorage, AK 99504-3408 | 2016-05-18 |
| 1437368412 | Golden Heart Alh | Assisted Living Facility | 2900 Aspen Dr, Anchorage, AK 99517-3253 | 2007-05-22 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 1326267014 | Parkside Assisted Living Inc Rosewood | Assisted Living Facility | 3722 Parsons Ave, Anchorage, AK 99508-1216 | 2007-04-24 |
| Find all providers in ANCHORAGE | ||||
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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.