# CREATIVE HOME CARE SOLUTIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114416344
- **Authorized official:** MRS. LEKEYSHA AYENUMELO (DIRECTOR)
- **Authorized official phone:** (336) 803-2908

## Contact information

- **Practice address:** 104 E MAIN ST, JAMESTOWN, NC 27282-9531
- **Practice address phone:** (336) 781-0938
- **Practice address fax:** (336) 781-3345
- **Mailing address:** PO BOX 2383, JAMESTOWN, NC 27282-2383
- **Mailing address phone:** (336) 803-2908
- **Mailing address fax:** (336) 905-7311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | HC5013 | NC | — |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 02/10/2022