CREATIVE COMMUNITY LIVING SERVICES, INC.
NPI 1265625834
Day Training, Developmentally Disabled Services in Watertown, WI

NPI Status: Active since August 27, 2007

Contact Information

314 E MAIN ST
WATERTOWN, WI
ZIP 53094
Phone: (920) 261-1345

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  • Organization
  • Day Training, Developmentally Disabled S...
  • CLIA Number: 52D2310883
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 09-11-2026

About CREATIVE COMMUNITY LIVING SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Creative Community Living Services, Inc., a provider established in Watertown, Wisconsin operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1265625834 assigned on August 2007. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mrs. Luanne M. Barnet (President)

NPI
1265625834
Provider Name
CREATIVE COMMUNITY LIVING SERVICES, INC.
Entity Type
Organization
Location Address
314 E MAIN ST WATERTOWN, WI 53094
Location Phone
(920) 261-1345
Mailing Address
314 E MAIN ST P.O. BOX 260 WATERTOWN, WI 53094
Mailing Phone
(920) 261-1345
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2007
Last Update Date
08-27-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LUANNE M. BARNET

Authorized Official Title
PRESIDENT
Authorized Official Phone
(920) 261-1345

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2310883
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
KATHLEEN J. ROACH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Creative Community Living Services, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265625834, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 2 + 2 + 1 + 0 + 8 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265625834.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265625834, enumerated as an "organization" on August 27, 2007.

The provider is located at 314 E MAIN ST WATERTOWN, WI 53094 and the phone number is (920) 261-1345.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.