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NPI Code Detail

MEDICARE: CREATIVE SOLUTIONS IN HOME HEALTH

MEDICARE: CREATIVE SOLUTIONS IN HOME HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2106E00000XAssistant Behavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316332380
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREATIVE SOLUTIONS IN HOME HEALTH
Provider Business Mailing Address
First Line : PO BOX 781577
Second Line :
City : ORLANDO
State : FL
Zip : 32878-1577
Country : US
Telephone Number : 407-252-4651
Fax Number :
Provider Business Practice Location Address
First Line : 447 BELLA VIDA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6717
Country : US
Telephone Number : 321-961-3489
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NIKA PALCESKI
Credential :
Telephone Number : 407-252-4651
Provider Enumeration Date : 04/06/2015
Last Update Date : 02/18/2017

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1063823060 — CHAUNCY GORDON
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1346639119 — HANNA BEVENS
Practice Location Address:
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1275925588 — MRS. MARTHA LILIANA HENAO
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Directions to “CREATIVE SOLUTIONS IN HOME HEALTH ” Practice Location

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