Healthcare Provider Details

I. General information

NPI: 1649161555
Provider Name (Legal Business Name): SPECIAL CREATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27801 EUCLID AVE
EUCLID OH
44132-3549
US

IV. Provider business mailing address

737 QUILLIAMS RD
SOUTH EUCLID OH
44121-1965
US

V. Phone/Fax

Practice location:
  • Phone: 216-374-1731
  • Fax:
Mailing address:
  • Phone: 216-773-2337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARLANA KENDRICKS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 216-773-2337