MEDICARE: CREATION HEALTH MANAGEMENT INC

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
1	3747P1801X	Personal Care Attendant

Other Identifiers

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

General Provider Information

NPI Number	:	1912210295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATION HEALTH MANAGEMENT INC

Provider Business Mailing Address
First Line	:	16325 WESTHEIMER RD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1233
Country	:	US
Telephone Number	:	281-793-9211
Fax Number	:	713-773-0941

Provider Business Practice Location Address
First Line	:	16325 WESTHEIMER RD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1233
Country	:	US
Telephone Number	:	281-793-9211
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. HOPE ADODO
Credential	:
Telephone Number	:	281-793-9211

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	03/19/2020

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Directions to “CREATION HEALTH MANAGEMENT INC ” Practice Location

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