KREATION RESIDENTIAL SERVICES (NPI# 1821576877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821576877 |
| Entity Type | Organization |
| Organization Name | KREATION RESIDENTIAL SERVICES |
| Practice Address |
9941 E 42nd St Indianapolis IN 46235-1675 |
| Practice Telephone | 3173408481 |
| Mailing Telephone | 3173408481 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | JAQUITA LATRESS SAVAGE (DIRECTOR) |
| Authorized Official Telephone | 3173408481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
9941 E 42ND ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46235-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316426885 | Jaquita Latress Savage | Adult Companion | 9941 E 42nd St, Indianapolis, IN 46235-1675 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
| 1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
| 1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
| 1386134690 | Kaitlin Abigail Waltz | Behavior Technician | 9905 Fall Creek Rd., Indianapolis, IN 46235 | 2018-05-11 |
| 1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
| 1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
| 1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
| 1366869828 | Mark M. Jamerson | Counselor | 9612 English Oak Dr, Indianapolis, IN 46235-1100 | 2014-03-23 |
| 1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| Find all providers in zip 46235 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714318 | Latisha Clark | Day Training, Developmentally Disabled Services | 4909 E 18th St, Indianapolis, IN 46218-4609 | 2020-09-11 |
| 1720588072 | Indiana Support Services Group LLC | Day Training, Developmentally Disabled Services | 921 E 86th St Ste 205, Indianapolis, IN 46240-1841 | 2018-02-13 |
| 1205334208 | Input Residential | Day Training, Developmentally Disabled Services | 8117 E Washington St, Indianapolis, IN 46219-6813 | 2018-01-25 |
| 1659746709 | The Altruist Group, LLC | Day Training, Developmentally Disabled Services | 9165 Otis Ave, Suite 235, Indianapolis, IN 46216-2027 | 2015-12-01 |
| 1275958001 | Advocating Angels | Day Training, Developmentally Disabled Services | 55 S State Ave Ste 302, Indianapolis, IN 46201-3895 | 2014-03-04 |
| 1114225992 | Kathryn Huff | Day Training, Developmentally Disabled Services | 1003 S Fleming St, Indianapolis, IN 46241-2412 | 2011-03-03 |
| 1225364672 | The Arc of Indiana | Day Training, Developmentally Disabled Services | 107 N Pennsylvania St, Suite 800, Indianapolis, IN 46204-2444 | 2009-10-20 |
| 1558582098 | Goodwill Industries of Central Indiana | Day Training, Developmentally Disabled Services | 413 N Tremont St, Indianapolis, IN 46222-3772 | 2007-05-01 |
| 1720142953 | Quinton Residential Living | Day Training, Developmentally Disabled Services | 2511 E 46th St, Suite J-3, Indianapolis, IN 46205-2460 | 2006-12-21 |
| 1255406500 | Heartland Residential Services, Inc. | Day Training, Developmentally Disabled Services | 156 E Market St, Suite 200, Indianapolis, IN 46204-3290 | 2006-11-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46235 |
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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.