CREATIVE EXTENDED CARE INC (NPI# 1215447982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215447982 |
| Entity Type | Organization |
| Organization Name | CREATIVE EXTENDED CARE INC |
| Practice Address |
14505 Commerce Way Miami Lakes FL 33016-1597 |
| Mailing Address |
14505 Commerce Way 545 Miami Lakes FL 33016 |
| Practice Telephone | 7866917790 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | MS. CRISTINA MARIA MARQUEZ (CEO) |
| Authorized Official Telephone | 7866917790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| Street Address |
14505 COMMERCE WAY |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33016-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619900610 | Elvira J Rives | Pediatrics | 14505 Commerce Way, Suite 800, Miami Lakes, FL 33016 | 2006-07-10 |
| 1750914099 | Virna Granados | Counselor | 14505 Commerce Way, Miami Lakes, FL 33016-1597 | 2020-02-14 |
| 1144718396 | Grisel Garcia | Behavior Technician | 14505 Commerce Way, Miami Lakes, FL 33016 | 2018-04-24 |
| 1235633678 | Irina Hernandez I | Behavior Technician | 14505 Commerce Way, Miami Lakes, FL 33016-1597 | 2018-03-21 |
| 1033619184 | Claudia Hernandez | Behavior Technician | 14505 Commerce Way, Miami Lakes, FL 33016-1597 | 2018-02-15 |
| 1407247737 | Elvira J. Rives Md Pa | Pediatrics | 14505 Commerce Way, Suite 800, Miami Lakes, FL 33016-1597 | 2015-02-09 |
| 1083049779 | Sweet Hope Research Specialty, Inc | Clinic/Center | 14505 Commerce Way, Ste 545, Miami Lakes, FL 33016-1597 | 2013-09-12 |
| 1548502339 | Total Renal Care Inc | Clinic/Center | 14505 Commerce Way, Ste 600, Miami Lakes, FL 33016-1530 | 2013-03-20 |
| 1396094058 | Jorge Paoli-bruno, M.d., P.a. | Family Medicine | 14505 Commerce Way, Suite 750, Miami Lakes, FL 33016-1597 | 2012-09-09 |
| 1184954513 | Renovation of Life Dialysis Center, Corp. | Clinic/Center | 14505 Commerce Way, Suite # 600, Miami Lakes, FL 33016-1597 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871054254 | Happy Kids Ppec Foundation | Skilled Nursing Facility | 4756 Nw 167th St, Miami Lakes, FL 33014-6427 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776671 | My Extended Family Home Care | Skilled Nursing Facility | 4766 Golden Gate Pkwy Ste 4, Naples, FL 34116-6935 | 2020-07-04 |
| 1538786173 | Magical Dreams Academy LLC | Skilled Nursing Facility | 966 Sw 82nd Ave, Miami, FL 33144-4271 | 2020-06-30 |
| 1427685692 | Fkppec1, Inc. | Skilled Nursing Facility | 5547 W Oakland Park Blvd, Lauderhill, FL 33313-1411 | 2020-03-26 |
| 1649807215 | Fkppec2, Inc. | Skilled Nursing Facility | 6515 Taft St, Hollywood, FL 33024-4008 | 2020-03-24 |
| 1285261867 | Fkppec3, Inc. | Skilled Nursing Facility | 8681 Coral Way, Miami, FL 33155-2337 | 2020-03-24 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1336794387 | South Florida Ppec Services, LLC | Skilled Nursing Facility | 15383 Nw 7th Ave Ste B, Miami, FL 33169-6205 | 2019-08-06 |
| 1710549019 | Caring Hearts Nursing Services LLC | Skilled Nursing Facility | 5700 Lake Worth Rd Ste 209-4, Greenacres, FL 33463-3270 | 2019-07-08 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1467926022 | Respiratory Care Providers, Incorporated | Skilled Nursing Facility | 2401 Frist Blvd Ste 9, Fort Pierce, FL 34950-4844 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI LAKES |
| Zip Code | 33016 |
Please comment or provide details below to improve the information on CREATIVE EXTENDED CARE INC.
| 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.