Provider Demographics
NPI:1790100212
Name:CREATIONS HEALTH CARE INC
Entity Type:Organization
Organization Name:CREATIONS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIRVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO, RN
Authorized Official - Phone:617-435-4633
Mailing Address - Street 1:1629 CENTRAL ST.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1693
Mailing Address - Country:US
Mailing Address - Phone:617-435-4633
Mailing Address - Fax:
Practice Address - Street 1:1629 CENTRAL ST.
Practice Address - Street 2:SUITE 1
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1693
Practice Address - Country:US
Practice Address - Phone:617-435-4633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health