| Creative Networks, Llc | |
|
950 W Behrend Dr Suite 1 Phoenix AZ 85027-4403 | |
| (623) 780-0053 | |
| Not Available |
| Full Name | Creative Networks, Llc |
|---|---|
| Speciality | Home Health |
| Location | 950 W Behrend Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Timothy Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Networks, Llc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (800) 866-0860 | Creative Networks, Llc 950 W Behrend Dr Suite 1 Phoenix AZ 85027-4403 Ph: (623) 780-0053 |
| NPI Number | 1629272919 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629272919 | NPI | - | NPPES |
| 908577 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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