Creative Community Service, Inc.

LBN: Creative Community Service, Inc.
Creative Community Service, Inc. is an health care organization with primary practice located at 4487 Park Dr Suite A, Norcross GA 30093-2964. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Creative Community Service, Inc. can be contacted via phone (770) 469-6226, or through Pallon, Cathy via phone (770) 469-6226.

Contact Information

Primary practice address
4487 Park Dr Suite A Norcross GA 30093-2964
Phone: (770) 469-6226
Fax: (678) 894-4081
Website:
Map and Directions
Authorized official contact:
Name: Pallon, Cathy
Phone: (770) 469-6226

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 060-R-0018 Georgia
Agencies / Community/Behavioral Health 251S00000X 060-R-0018 Georgia
Agencies / Community/Behavioral Health 251S00000X CP-FC0040079 Georgia

Profile Details

NPI number 1891820130
LBN Legal business name Creative Community Service, Inc.
DBA Doing business as
Authorized official Pallon, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated May 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891820130 NPPES
Georgia MEDICAID 000565375AA
Georgia MEDICAID 000565375AC
Georgia MEDICAID 000565375F
Georgia MEDICAID 000565375G
Georgia MEDICAID 000565375J
Georgia MEDICAID 000565375Y
Georgia MEDICAID 000565375AD
Georgia MEDICAID 000565375AF
Georgia MEDICAID 000565375AL
Georgia MEDICAID 000565375AN
Georgia MEDICAID 000565375N
Georgia MEDICAID 000565375P
Georgia MEDICAID 000565375U
Georgia MEDICAID 000565375AB
Georgia MEDICAID 000565375AK
Georgia MEDICAID 000565375M
Georgia MEDICAID 000565375V
Georgia MEDICAID 000565375W
Georgia MEDICAID 000565375Z
Georgia MEDICAID 000565375L
Georgia MEDICAID 000565375Q
Georgia MEDICAID 000565375AM
Georgia MEDICAID 000565375I
Georgia MEDICAID 300025237-C
Georgia MEDICAID 000565375AE
Georgia MEDICAID 000565375AI
Georgia MEDICAID 000565375AJ
Georgia MEDICAID 000565375R
Georgia MEDICAID 000565375S
Georgia MEDICAID 000565375X
Georgia MEDICAID 000565375K
Georgia MEDICAID 000565375O
Georgia MEDICAID 000565375T
Georgia MEDICAID 000565375AG
Georgia MEDICAID 000565375AH
Georgia MEDICAID 000565375B
Georgia MEDICAID 000565375H

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