CREATIVE FAMILY SUPPORT


Address: 1851 E 1st St, Suite 900, Santa Ana, CA 92705-4017
Phone: 7146199331

CREATIVE FAMILY SUPPORT (NPI# 1255779989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255779989
Entity Type Organization
Organization Name CREATIVE FAMILY SUPPORT
Other Organization Name CREATIVE FAMILY COACHING INC
Practice Address 1851 E 1st St
Suite 900
Santa Ana
CA 92705-4017
Practice Telephone 7146199331
Mailing Telephone 7146199331
Enumeration Date 2013-06-04
Last Update Date 2014-04-08
Authorized Official Name KELLIE GRILLO- SCHMIDT (CEO)
Authorized Official Telephone 7146199331
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 1-12-11635 CA Agencies

Other Provider/Organization Names

Other Name Type Code
Creative Family Coaching INC Former Legal Business Name - Organization

Office Location

Street Address 1851 E 1ST ST
SUITE 900
City SANTA ANA
State CA
Zip Code 92705-4017

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1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609343078 Behavioral Health Services, Inc. Community/Behavioral Health 2015 W 1st St Ste J, Santa Ana, CA 92703-3516 2018-10-24
1376021345 Taylyn Rage Sevilla Community/Behavioral Health 3509 Ramona Dr, Santa Ana, CA 92707-3955 2018-08-01
1013421643 Latino Center for Prevention & Action In Health & Welfare Community/Behavioral Health 450 W 4th St, Santa Ana, CA 92701-4562 2017-11-17
1326591538 Path of Light, Inc Community/Behavioral Health 3417 S Plaza Dr Apt I, Santa Ana, CA 92704-7259 2016-07-25
1144681503 Lutheran Social Services of Souterh California Community/Behavioral Health 2101 E. 4th Street, Santa Ana, CA 92705 2016-03-14
1922464940 Orangewood Foundation Community/Behavioral Health 1615 E 17th St 2nd Floor, Santa Ana, CA 92705-8529 2016-01-06
1659748218 Gay &lesbian Community Services Center of Orange County Community/Behavioral Health 1605 N Spurgeon St, Santa Ana, CA 92701-2355 2015-08-28
1548640311 Norooz Clinic Foundation Community/Behavioral Health 1560 Brookhollow Dr Ste 212, Santa Ana, CA 92705-5411 2015-06-05
1518392133 Orange County Health Care Agency Community/Behavioral Health 1540 E. First St., Ste. 114, Santa Ana, CA 92702 2013-09-13
1669817227 Orange County Multiethnic Collaborative of Community Agencies Community/Behavioral Health 1505 E 17th St, 229, Santa Ana, CA 92705-8520 2013-05-08
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Competitor

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City SANTA ANA
Zip Code 92705

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Dataset Information

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.

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