OrganizationActive
Creative Residential LLC
NPI 1487596847 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Westminster, MA
Provider details
- NPI number
- 1487596847
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Oluyinka Fadahunsi, Owner(804) 497-9326
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
59 Leominster St
Westminster, MA 01473-1517
Phone: (804) 497-9326
Street-level locationGet directions
Mailing address
59 Leominster St
Westminster, MA 01473-1517
Registry dates
- Enumerated
- 2026-04-07
- Last updated
- 2026-04-07
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.