National Provider Identifier Database

JCREATIVE3000
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

JCREATIVE3000
3201 S EDSEL ST
DETROIT, MI48217-2405
Phone: 586-625-9704
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for JCREATIVE3000

NPI Number 1043990666
Legal business name
LBN
JCREATIVE3000
Authorized official JACQUELINE SPROLES - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/19/2023
Last updated 07/19/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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