Provider Demographics
NPI:1821186636
Name:CREATIVE IMAGES INC
Entity Type:Organization
Organization Name:CREATIVE IMAGES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-569-5640
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-0253
Mailing Address - Country:US
Mailing Address - Phone:248-569-5640
Mailing Address - Fax:248-569-0828
Practice Address - Street 1:16250 NORTHLAND DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5205
Practice Address - Country:US
Practice Address - Phone:248-569-5640
Practice Address - Fax:248-569-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320600000X
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)