Provider Demographics
NPI:1881748036
Name:CREATIVE HEALTH CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:CREATIVE HEALTH CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:414-431-9411
Mailing Address - Street 1:221 EAGLES COVE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53153-9628
Mailing Address - Country:US
Mailing Address - Phone:414-431-9411
Mailing Address - Fax:414-778-0242
Practice Address - Street 1:221 EAGLES COVE CIR
Practice Address - Street 2:
Practice Address - City:NORTH PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53153-9628
Practice Address - Country:US
Practice Address - Phone:414-431-9411
Practice Address - Fax:414-778-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3104A0625X, 3104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness