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Contact Information

CREATIVE FAMILY SERVICE, LLC
4222 W CAPITOL DR
MILWAUKEE, WI53216-2500
 Phone: 414-388-8293
 Fax: 414-249-4658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Health Maintenance Organization

302R00000X
 

In Home Supportive Care

253Z00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for CREATIVE FAMILY SERVICE, LLC

NPI # 1124389010
LBN Legal business name CREATIVE FAMILY SERVICE, LLC
Authorized official ANDREA WARD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2012
Last updated 05/01/2015 - About 11 years ago
Identifiers
WI License # 16594-130
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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