CREATIVE LIVING SUPPORT SERVICES LLC; NPI #1982309738

Contact Information

CREATIVE LIVING SUPPORT SERVICES LLC

134 EVERGREEN PL STE 600
EAST ORANGE, NJ 07018-2011

Phone: 862-252-6752
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Developmental Disabilities	261QD1600X
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Home Health	251E00000X	A4[11]	Home Health Agency
In Home Supportive Care	253Z00000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Respite Care	385H00000X
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X
Supports Brokerage	251X00000X

Indicates primary specialty

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NPI Profile & details for CREATIVE LIVING SUPPORT SERVICES LLC

NPI Number	`1982309738`
LBN Legal business name	CREATIVE LIVING SUPPORT SERVICES LLC
Authorized official	ROYLETA FOSTER - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/03/2023
Last updated	11/18/2024 - More than a year ago
Identifiers	n/a

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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CREATIVE LIVING SUPPORT SERVICES LLC

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NPI Profile & details for CREATIVE LIVING SUPPORT SERVICES LLC

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