Creative Development, Llc

LBN: Creative Development, Llc
Creative Development, Llc is an health care organization with primary practice located at 30 Avon Meadow Ln , Avon CT 06001-3745. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Other Service Providers / Specialist is the primary health care specialty. Creative Development, Llc can be contacted via phone (860) 833-9905, or through Anderson, Deanne via phone (860) 284-9779.

Contact Information

Primary practice address
30 Avon Meadow Ln Avon CT 06001-3745
Phone: (860) 833-9905
Fax: (860) 409-2190
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Deanne OTR/L
Phone: (860) 284-9779

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 000957 Connecticut
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001742 Connecticut

Profile Details

NPI number 1295928075
LBN Legal business name Creative Development, Llc
DBA Doing business as
Authorized official Anderson, Deanne OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2007
Last updated Apr 7th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295928075 NPPES
Connecticut MEDICAID 008047516

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