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CREATIVE CHILD CARE, INC.
NPI 1053853192
Local Education Agency (LEA) in Stockton, CA

Active since November 07, 2016
4719 QUAIL LAKES DR, G-237, STOCKTON, CA 95207(209) 941-9100(209) 941-9110 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creative Child Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE CHILD CARE, INC. (NPI 1053853192) is a healthcare organization registered as a local education agency (lea) in Stockton, California and active in the NPI registry since November 2016. The organization lists Debra Eison, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053853192
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameCREATIVE CHILD CARE, INC.
Location Address4719 QUAIL LAKES DR, G-237Stockton, CA 95207-5267
Mailing Address600 E Main StStockton, CA 95202-3029 · (209) 941-9100 · Fax (209) 941-9110
Phone(209) 941-9100
Fax(209) 941-9110
Organization SubpartNo
Authorized OfficialDebra EisonExecutive Director · (209) 941-9100
Enumeration DateNovember 7, 2016
✔ NPI 1053853192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
4719 QUAIL LAKES DR, Stockton, CA 95207
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Other Identifiers 1

Medicaid39155742CA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERENICE JIMENEZ
Behavior Technician
4719 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (435) 881-3654
CORE LABS AND DIAGNOSTIC
Clinic/Center
4719 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (209) 414-7553
MEDICODE BILLING
Durable Medical Equipment & Medical Supplies
4719 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (520) 427-9841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Child Care, Inc.'s NPI number?

The NPI number for Creative Child Care, Inc. is 1053853192. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Creative Child Care, Inc. located?

Creative Child Care, Inc. is located at 4719 Quail Lakes Dr G-237, Stockton, CA 95207. The listed phone number is (209) 941-9100.

What is Creative Child Care, Inc.'s specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

When was this NPI record last updated?

The NPPES record for Creative Child Care, Inc. was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.