CREOLIA'S HOUSE LLC
NPI 1235311994
Residential Treatment Facility, Emotionally Disturbed Children in Eden, NC

Active since December 04, 2007
627 LAKE ST, EDEN, NC 27288(336) 635-4999(336) 635-4999 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Creolia's House Llc NPPES

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

CREOLIA'S HOUSE LLC (NPI 1235311994) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Eden, North Carolina and active in the NPI registry since December 2007. The organization lists Latonya Rice, Director, as its authorized official.

NPPES Registry Identity

NPI1235311994
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCREOLIA'S HOUSE LLC
Location Address627 LAKE STEden, NC 27288-4323
Mailing Address1074 Candy Creek RdReidsville, NC 27320-1631 · (336) 634-0593 · Fax (336) 634-0593
Fax(336) 635-4999
Organization SubpartNo
Authorized OfficialLatonya RiceDirector · (336) 634-0593
Enumeration DateDecember 4, 2007
Last NPPES UpdateJune 23, 2008
NPI 1235311994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

627 LAKE ST, Eden, NC 27288

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 Creolia's House LLC's NPI number?

The NPI number for Creolia's House LLC is 1235311994. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Creolia's House LLC located?

Creolia's House LLC is located at 627 Lake St, Eden, NC 27288. The listed phone number is (336) 635-4999.

What is Creolia's House LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Creolia's House LLC was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.