Healthcare Provider Details

I. General information

NPI: 1487992236
Provider Name (Legal Business Name): CREATIVE OPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3829 ATTUCKS DRIVE
POWELL OH
43065-6082
US

IV. Provider business mailing address

3829 ATTUCKS DRIVE
POWELL OH
43065-6082
US

V. Phone/Fax

Practice location:
  • Phone: 614-769-2499
  • Fax: 614-389-1419
Mailing address:
  • Phone: 614-769-2499
  • Fax: 614-389-1419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: MS. DANIELLE ABEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 614-769-2499