OrganizationActive
Creative Extended Care Inc
NPI 1215447982 · Pediatric Skilled Nursing Facility · Miami Lakes, FL
Provider details
- NPI number
- 1215447982
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cristina Marquez, Ceo(786) 691-7790
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
14505 Commerce Way
Miami Lakes, FL 33016-1597
Phone: (786) 691-7790
Approximate (ZIP-level) locationGet directions
Mailing address
14505 Commerce Way
Miami Lakes, FL 33016
Registry dates
- Enumerated
- 2017-10-06
- Last updated
- 2024-12-13
- Certified
- 2024-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.