OrganizationActive
Creative Community Living Services
NPI 1942583125 · Assisted Living Facility (Mental Illness) · Plano, TX
Provider details
- NPI number
- 1942583125
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Johnson, Owner(214) 440-2411
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1201 Legacy Dr
1913
Plano, TX 75023
Phone: (214) 440-2411
Fax: (214) 440-2411
Approximate (ZIP-level) locationGet directions
Mailing address
1201 Legacy Dr
Plano, TX 75023
Registry dates
- Enumerated
- 2011-09-23
- Last updated
- 2011-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.