Organization
CREATIVE LIVING COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN WHITE (EXECUTIVE DIRECTOR/FOUNDER)
(757) 717-8806
Entity
Organization
Contact information
Practice address
853 PARAPET RD, CHESAPEAKE, VA 23323-2419
(757) 717-8806
Mailing address
3212 ARMISTEAD DR, PORTSMOUTH, VA 23704-6104
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up