Provider Demographics
NPI:1558139733
Name:CRE8 LIVE STUDIOS LLC
Entity Type:Organization
Organization Name:CRE8 LIVE STUDIOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HART-CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-730-0207
Mailing Address - Street 1:8124 N JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-2614
Mailing Address - Country:US
Mailing Address - Phone:346-730-0207
Mailing Address - Fax:
Practice Address - Street 1:8124 N JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-2614
Practice Address - Country:US
Practice Address - Phone:346-730-0207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker