Provider Demographics
NPI:1912210295
Name:CREATION HEALTH MANAGEMENT INC
Entity Type:Organization
Organization Name:CREATION HEALTH MANAGEMENT INC
Other - Org Name:CREATION HEALTH MANAGEMENT INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-793-9211
Mailing Address - Street 1:16325 WESTHEIMER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1233
Mailing Address - Country:US
Mailing Address - Phone:281-793-9211
Mailing Address - Fax:713-773-0941
Practice Address - Street 1:16325 WESTHEIMER RD STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1233
Practice Address - Country:US
Practice Address - Phone:281-793-9211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013587Medicaid