CREATIVE IMAGE PERSONAL CARE SERVICE LLC NPI 1164964003

NPI Information

NPI: 1164964003
Provider Name: CREATIVE IMAGE PERSONAL CARE SERVICE LLC

Doing Business As: CREATIVE IMAGE RESPITE CARE SERVICE LLC

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
503 HIGHWAY 82 E
INDIANOLA, MS
ZIP 38751
Phone: (662) 379-0238
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CREATIVE IMAGE PERSONAL CARE SERVICE LLC is a respite care in Indianola, MS. CREATIVE IMAGE PERSONAL CARE SERVICE LLC NPI is 1164964003. The provider is registered as an organization entity type.
The provider Is Doing Business As Creative Image Respite Care Service Llc.

The provider's business location address is:

503 HIGHWAY 82 E
INDIANOLA, MS
ZIP 38751-317
Phone: (662) 379-0238
Fax: (662) 887-8050

The provider's authorized official is Chandra Rena Thomas .
The authorized official title is Ceo/owner and has the following contact phone number (662) 379-0238.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.

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	311ZA0620X	Custodial Care Facility	Adult Care Home	311ZA0620X-ADULTCARE		No
2	385H00000X	Respite Care		385H00000X-RESPITE	MISSISSIPPI	Yes

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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