CREATIVE OPTIONS LLC NPI 1245699461

NPI Information

NPI: 1245699461
Provider Name: CREATIVE OPTIONS, LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 20D2200937

Address:
1660 OHIO ST
BANGOR, ME
ZIP 04401
Phone: (207) 949-3582
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CREATIVE OPTIONS, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Bangor, ME. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CREATIVE OPTIONS, LLC NPI is 1245699461. The provider is registered as an organization entity type.

The provider's business location address is:

1660 OHIO ST
BANGOR, ME
ZIP 04401-215
Phone: (207) 949-3582
Fax: (207) 564-3011

The provider's authorized official is Lynn Augustine .
The authorized official title is President/ceo and has the following contact phone number (207) 949-3582.

The CLIA number assigned to this NPI record is 20D2200937 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 8/7/2018.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				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: 11/14/2023

NPI Synchronization or Removal

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