CREATIVE CHILD CARE, INC. (NPI# 1053853192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053853192 |
| Entity Type | Organization |
| Organization Name | CREATIVE CHILD CARE, INC. |
| Practice Address |
4719 Quail Lakes Dr G-237 Stockton CA 95207-5267 |
| Mailing Address |
600 E Main St Stockton CA 95202-3029 |
| Practice Telephone | 2099419100 |
| Practice Fax Number | 2099419110 |
| Mailing Telephone | 2099419100 |
| Mailing Fax Number | 2099419110 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | DEBRA EISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2099419100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 39155742 | 05 |
| Street Address |
4719 QUAIL LAKES DR G-237 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1215105291 | Stockton Cusd 206 | Local Education Agency (LEA) | 500 N Rush St # M, Suite A, Stockton, IL 61085-1004 | 2008-02-13 |
| 1326194671 | Stockton Unified School District | Local Education Agency (LEA) | 701 N Madison St, Stockton, CA 95202-1634 | 2007-01-26 |
| 1366590580 | Lincoln Unified School District | Local Education Agency (LEA) | 2010 W Swain Rd, Stockton, CA 95207-4055 | 2007-01-05 |
| 1508308644 | Transformational Education Inc. | Local Education Agency (LEA) | 600 E Main St, Stockton, CA 95202-3029 | 2016-11-07 |
| 1588997126 | Usd # 271 | Local Education Agency (LEA) | 421 Main St, Stockton, KS 67669-1929 | 2009-09-15 |
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| 1073123444 | Santa Rosa Academy, Inc | Local Education Agency (LEA) | 27587 La Piedra Rd, Menifee, CA 92584-8376 | 2020-07-31 |
| 1659989168 | Schools In Action | Local Education Agency (LEA) | 1241 S Soto St Ste 212, Los Angeles, CA 90023-2672 | 2020-07-21 |
| 1891303855 | Core Butte Charter School | Local Education Agency (LEA) | 2847 Notre Dame Blvd, Chico, CA 95928-8319 | 2020-07-16 |
| 1497372650 | Arcadia Unified School District | Local Education Agency (LEA) | 150 S 3rd Ave, Arcadia, CA 91006-3703 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.