Creative Living Support Services Llc

LBN: Creative Living Support Services Llc
Creative Living Support Services Llc is an health care organization with primary practice located at 134 Evergreen Pl Ste 600 , East Orange NJ 07018-2011. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Creative Living Support Services Llc can be contacted via phone (862) 252-6752, or through Foster, Royleta via phone (862) 253-6818.

Contact Information

Primary practice address
134 Evergreen Pl Ste 600 East Orange NJ 07018-2011
Phone: (862) 252-6752
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Foster, Royleta
Phone: (862) 253-6818

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1982309738
LBN Legal business name Creative Living Support Services Llc
DBA Doing business as
Authorized official Foster, Royleta
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2023
Last updated Apr 3rd, 2023 - about last year

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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