Provider Demographics
NPI:1225288103
Name:FRIENDS OF CREATIVEKIDS, INC.
Entity Type:Organization
Organization Name:FRIENDS OF CREATIVEKIDS, INC.
Other - Org Name:GUARDIAN ANGEL MATERNITY HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-429-3631
Mailing Address - Street 1:12623 BETHANY BAY DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7867
Mailing Address - Country:US
Mailing Address - Phone:713-429-3631
Mailing Address - Fax:866-466-4320
Practice Address - Street 1:6702 INDIAN LAKE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2635
Practice Address - Country:US
Practice Address - Phone:713-429-3631
Practice Address - Fax:866-466-4320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123153310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility