Creative Foundations

LBN: Creative Foundations
Creative Foundations is an health care organization with primary practice located at 1775 Graham Ave Ste 103 , Henderson NC 27536-2996. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Creative Foundations can be contacted via phone (252) 529-9054, or through Massey, Kenyetta via phone (252) 529-9054.

Contact Information

Primary practice address
1775 Graham Ave Ste 103 Henderson NC 27536-2996
Fax:
Website:
Authorized official contact:
Name: Massey, Kenyetta

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X North Carolina

Profile Details

NPI number 1437306735
LBN Legal business name Creative Foundations
DBA Doing business as Creative Foundations
Authorized official Massey, Kenyetta
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2008
Last updated Feb 11th, 2009 - about 16 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 1437306735 NPPES
North Carolina MEDICAID 8302451G
North Carolina MEDICAID 3418608
North Carolina MEDICAID 6006505
North Carolina MEDICAID 8302451B

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