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CREATIVE POTENTIAL
NPI 1114504941
Technician - Personal Care Attendant in Uncasville, CT

Active since March 26, 2021
912 NORWICH NEW LONDON TPKE STE 5, UNCASVILLE, CT 06382(860) 848-0514(860) 848-0523 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Mar 26, 2021 (2 updates tracked since 2021).

About Creative Potential NPPES

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

CREATIVE POTENTIAL (NPI 1114504941) is a healthcare organization registered as a personal care attendant in Uncasville, Connecticut and active in the NPI registry since March 2021. The organization lists Sierra R Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1114504941
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameCREATIVE POTENTIAL LLC
Location Address912 NORWICH NEW LONDON TPKE STE 5Uncasville, CT 06382-1908
Mailing Address915 Norwich New London Tpke, Unit 5Uncasville, CT 06382-1600 · (860) 848-0514 · Fax (860) 848-0523
Phone(860) 848-0514
Fax(860) 848-0523
Organization SubpartNo
Authorized OfficialSierra R DavisOwner · (860) 848-0514
Enumeration DateMarch 26, 2021
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1114504941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
912 NORWICH NEW LONDON TPKE STE 5, Uncasville, CT 06382
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Other Names 1

Doing Business AsCreative Potential

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ANNALISE KREYCIK
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
MRS. MORGAN FENNER
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
MS. MELISSA MALTESE
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
MS. MICHEL-ANGE AURELUS-JOSEPH
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
MS. SYDNEY BYRD
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
MR. MICHAEL CIVITELLO
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
ERNEST KYLE VICTORINO
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514
MR. DANTE DAVIS
Behavior Technician
912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
Southeastern Connecticut Planning Region (860) 848-0514

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 Potential LLC's NPI number?

The NPI number for Creative Potential LLC is 1114504941. It was assigned to this organization in the NPPES registry on March 26, 2021. The provider is doing business as Creative Potential.

Where is Creative Potential LLC located?

Creative Potential LLC is located at 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382. The listed phone number is (860) 848-0514.

What is Creative Potential LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Creative Potential LLC was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.