Provider Type Icon

CREATIVE HOSPICE CARE INC NPI 1437897956


NPI Information

NPI: 1437897956
Provider Name: CREATIVE HOSPICE CARE, INC

Doing Business As: TRADITIONS HEALTH

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 11D2025314

Address:
1561 LENRU RD STE A
BOGART, GA
ZIP 30622
Phone: (770) 725-2399
Get Directions

CREATIVE HOSPICE CARE, INC is a clinic center in Bogart, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CREATIVE HOSPICE CARE, INC NPI is 1437897956. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Health.

The provider's business location address is:

1561 LENRU RD STE A
BOGART, GA
ZIP 30622-334
Phone: (770) 725-2399

The provider's authorized official is David R Klementz .
The authorized official title is President & Ceo and has the following contact phone number (979) 704-6547.

The CLIA number assigned to this NPI record is 11D2025314 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 9/12/2023.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.