Active NPIOrganization

Creative Potential LLC

Technician, Personal Care Attendant in Uncasville, Connecticut

NPI Number1114504941
Practice location
912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908
Fax
860-848-0523
Last updated
January 4, 2022

Creative Potential LLC is a healthcare organization based in Uncasville, CT. Creative Potential LLC practices in Uncasville, CT. The NPI Number for Creative Potential LLC is 1114504941. The current practice location address for Creative Potential LLC is 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908 and can be reached out via phone at 860-848-0514 and via fax at 860-848-0523.

Provider Profile Details

NPI Number
1114504941
Provider Name
Creative Potential LLC
Provider Entity Type
Organization
Address
912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908
Phone Number
860-848-0514
Fax Number
860-848-0523
Primary Taxonomy
Technician, Personal Care Attendant · 3747P1801X
Organization Subpart
No
Authorized Official
Mrs. Sierra R Davis · Owner · 860-848-0514
Other Names
Creative Potential (Doing Business As)
Provider Enumeration Date
March 26, 2021
Last Update Date
January 4, 2022
Certification Date
November 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
912 Norwich New London Tpke Ste 5
Uncasville, CT 06382-1908
Zip
06382-1908
Phone Number
860-848-0514
Fax Number
860-848-0523
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
915 Norwich New London Tpke
Unit 5
Uncasville, CT 06382-1600
City
Uncasville
State
CT
Zip
06382-1600
Phone Number
860-848-0514
Fax Number
860-848-0523

License Information

Taxonomy
Technician, Personal Care Attendant · 3747P1801X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Creative Potential LLC?

The NPI number of Creative Potential LLC is 1114504941. It was assigned on March 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Creative Potential LLC?

Creative Potential LLC is registered under the primary taxonomy Technician, Personal Care Attendant (code 3747P1801X).

Where does Creative Potential LLC practice?

The practice location is 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908. The office can be reached at 860-848-0514 (phone) or 860-848-0523 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114504941 directly on the NPPES registry website.

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