EXTENDING CREATIVE MINDS (NPI# 1639524069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639524069 |
| Entity Type | Organization |
| Organization Name | EXTENDING CREATIVE MINDS |
| Practice Address |
9723 Homestead Houston TX 77016 |
| Mailing Address |
9723 Homestead Rd Houston TX 77016-4403 |
| Practice Telephone | 8325068121 |
| Mailing Telephone | 8325068121 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | MR. LAVONTE DICKERSON MOTTLEY (COUNSELING) |
| Authorized Official Telephone | 8325068121 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301763 | Extending Creative Minds | Social Worker | 10311 Homestead Rd, Houston, TX 77016-3305 | 2016-04-22 |
| Street Address |
9723 HOMESTEAD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780096412 | Launch Point Cdc Inc. | Preferred Provider Organization | 9723 Homestead, Houston, TX 77016 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1013568302 | Lynette Callier | Technician | 7410 Caddo, Houston, TX 77016 | 2019-09-27 |
| 1770132169 | Mary Collins | Technician | 7221 Boggess, Houston, TX 77016 | 2019-09-09 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1407336654 | Something Special Mental Health Care | Clinic/Center | 5318 Laura Koppe St, Houston, TX 77016 | 2018-08-17 |
| 1538648019 | Lois Hardy | Licensed Vocational Nurse | 7306 Caddo St., Houston, TX 77016 | 2018-08-07 |
| 1124520960 | Complete Plus Healthcare Inc | Clinic/Center | 6235 Laura Koppe Rd Ste B, Houston, TX 77016 | 2018-03-07 |
| 1790220481 | Premier Diagnostic Center | Point of Service | 10311 Homestead Road, Houston, TX 77016 | 2017-01-04 |
| 1902274178 | Established Transportation | Non-emergency Medical Transport (VAN) | 6314 Heath, Houston, TX 77016 | 2015-09-04 |
| 1225455199 | Allen's Residential Services | Community Based Residential Treatment Facility, Mental Illness | 5902 Lornia Lane, Houston, TX 77016 | 2014-03-27 |
| Find all providers in zip 77016 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849494 | Face To Face Healthcare Services LLC | Preferred Provider Organization | 2616 S Loop W Ste 300, Houston, TX 77054-2672 | 2019-09-06 |
| 1083187223 | Chinese Community Center, Inc. | Preferred Provider Organization | 9800 Town Park Dr, Houston, TX 77036-2316 | 2019-01-10 |
| 1013422492 | Cicero L Sadler | Preferred Provider Organization | 4001 San Jacinto St, Houston, TX 77004-4021 | 2017-12-07 |
| 1255866950 | Guardian of Angels Community Living | Preferred Provider Organization | 12703 Jones Rd, 1115, Houston, TX 77070-4676 | 2017-05-01 |
| 1356874622 | Urban Line LLC | Preferred Provider Organization | 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 | 2017-04-04 |
| 1841741428 | Its In My Heart | Preferred Provider Organization | 6502 Nunn St, Houston, TX 77087-5932 | 2016-10-19 |
| 1134573264 | Forever Young Adult Care | Preferred Provider Organization | 12801 Roydon Dr. Apt 2215, Houston, TX 77034 | 2016-04-14 |
| 1740649532 | D & P Business Solutions | Preferred Provider Organization | 5816 Tidwell Rd, Houston, TX 77016-4744 | 2016-02-22 |
| 1952777401 | Physicians Aco, LLC | Preferred Provider Organization | 1900 North Loop W Ste 400, Houston, TX 77018-8119 | 2015-08-19 |
| 1619364593 | Silver Lining Acupuncture and Oriental Medicine, Pllc | Preferred Provider Organization | 2600 Gessner Rd Ste 275, Houston, TX 77080-3898 | 2015-04-18 |
| Find all providers in HOUSTON | ||||
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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.