CREATIVE HEALTH CARE MANAGEMENT LLC (NPI# 1821612037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821612037 |
| Entity Type | Organization |
| Organization Name | CREATIVE HEALTH CARE MANAGEMENT LLC |
| Practice Address |
300 E Washington Blvd Fort Wayne IN 46802-3124 |
| Mailing Address |
10 S 9th St Ste 4 Noblesville IN 46060-2631 |
| Practice Telephone | 2604225511 |
| Mailing Telephone | 7655243946 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | JESSICA Y BEAUDRY (VP OF OPERATIONS) |
| Authorized Official Telephone | 7656236599 |
| Is Organization Subpart | Y |
| Parent Organization Name | CREATIVE HEALTH CARE MANAGEMENT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vertis Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 S Dixon Rd, Kokomo, IN 469026403 | 7654552828 | |
| 3016 Portage Ave, South Bend, IN 466283501 | 5744404511 | |
| 3731 W Cook Rd, Fort Wayne, IN 468189662 | 2604902112 | |
| 7125 Hanna St, Fort Wayne, IN 468161166 | 2604478811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501747 | Creative Health Care Management LLC | General Practice | 135 Market St, Thomasville, GA 31792-5782 | 2020-06-05 |
| 1790309904 | Creative Health Care Management LLC | Physical Therapist | 6500 Interchange Rd S Ste A, Evansville, IN 47715-8210 | 2020-06-03 |
| 1902350457 | Creative Health Care Management LLC | Physical Therapist | 9105 E 56th St, Indianapolis, IN 46216-2229 | 2016-08-12 |
| Street Address |
300 E WASHINGTON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063701886 | Lamplight Inn of Fort Wayne, LLC | Assisted Living Facility | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2011-04-01 |
| 1336779347 | Scott M Mathewson | Occupational Therapist | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2020-01-17 |
| 1609414440 | Jennifer Ann Boylan | Occupational Therapy Assistant | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2019-12-11 |
| 1205471927 | Nss-alf Fort Wayne LLC | Assisted Living Facility | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2019-11-18 |
| 1366901639 | April Wilk | Occupational Therapist | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2019-03-17 |
| 1235695107 | Dawn M May | Occupational Therapy Assistant | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2019-02-15 |
| 1023594355 | Cody Reese Zimmer | Occupational Therapist | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2018-07-19 |
| 1184126187 | Michelle Lock | Physical Therapy Assistant | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2018-03-06 |
| 1124547583 | Hilary Rohrabaugh | Occupational Therapist | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2017-09-16 |
| 1508389776 | Rachel Dawn Harmsen | Occupational Therapist | 300 E Washington Blvd, Fort Wayne, IN 46802-3124 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1801138102 | Family Health Practitioners, LLC | General Practice | 909 River Oak Run, Fort Wayne, IN 46804-3543 | 2013-03-25 |
| 1679836910 | Innovative Professional Service LLC | General Practice | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2012-06-21 |
| 1003134123 | Aptcare In 1 | General Practice | 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845-1908 | 2010-05-13 |
| 1104395680 | Regen Med of Indiana LLC | General Practice | 5931 Stoney Creek Dr, Fort Wayne, IN 46825-4401 | 2018-11-14 |
| 1750743381 | Aptcare LLC | General Practice | 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845-1908 | 2016-03-23 |
| 1619044047 | Robert L Arnold Dds Inc | General Practice | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 | 2006-11-29 |
| 1083726848 | Robert L Arnold | General Practice | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 | 2006-08-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
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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.