CREATIVE COMMUNITY OPTIONS INC NPI 1023149267

NPI Information

NPI: 1023149267
Provider Name: CREATIVE COMMUNITY OPTIONS INC

Doing Business As: CANDEO

Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Organization
Address:
9550 WHITE OAK LN
JOHNSTON, IA
ZIP 50131
Phone: (515) 259-8110
Get Directions

CREATIVE COMMUNITY OPTIONS INC is a day training habilitation specialist in Johnston, IA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. CREATIVE COMMUNITY OPTIONS INC NPI is 1023149267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Candeo.

The provider's business location address is:

9550 WHITE OAK LN
JOHNSTON, IA
ZIP 50131-294
Phone: (515) 259-8110
Fax: (515) 259-8109

The provider's authorized official is Marcy M Davis .
The authorized official title is Ceo and has the following contact phone number (515) 259-8120.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 11/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	373H00000X	Day Training/Habilitation Specialist			IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0283499	MEDICAID	IOWA
2	0110718	MEDICAID	IOWA
3	1283499	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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