Provider Demographics
NPI:1285464834
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/ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIRVA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFONTANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-435-4633
Mailing Address - Street 1:381 S ELM ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1536
Mailing Address - Country:US
Mailing Address - Phone:617-435-4633
Mailing Address - Fax:508-857-4040
Practice Address - Street 1:247 N MAIN ST # 13
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4172
Practice Address - Country:US
Practice Address - Phone:617-435-4633
Practice Address - Fax:781-885-2974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care