{
"Npi": {
"NPI": "1891227526",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CREATIVE CARE SERVICES, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 463184",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT CLEMENS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48046-3184",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-792-1300",
"MailingAddressFaxNumber": "586-792-3700",
"FirstLinePracticeLocationAddress": "34360 HARPER AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLINTON TWP",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48035-3704",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-792-1300",
"PracticeLocationAddressFaxNumber": "586-792-3700",
"EnumerationDate": "03/31/2017",
"LastUpdateDate": "03/31/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALEY",
"AuthorizedOfficialFirstName": "CHRISTY",
"AuthorizedOfficialMiddleName": "JO",
"AuthorizedOfficialTitle": "CO-OWNER/DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "586-792-1300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}