PRIME CREATIVE HEALTH SERVICE LLC – NPI #1568858942
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

PRIME CREATIVE HEALTH SERVICE LLC is a community based residential treatment facility located in WASHINGTON, DC. NPPES has assigned the NPI number 1568858942 to PRIME CREATIVE HEALTH SERVICE LLC on April 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME CREATIVE HEALTH SERVICE LLC below.

NPI Profile for
PRIME CREATIVE HEALTH SERVICE LLC

NPI Number
1568858942
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME CREATIVE HEALTH SERVICE LLC
Primary location
1110 ASPEN ST NW APT 101
WASHINGTON, DC 20012-2518
Phone: (301) 537-9307 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUSTIN NWAETE
CEO
Phone: (301) 537-9307
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 DC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.