CREATIVE COMMUNITY LIVING SERVICES
NPI 1942583125
Assisted Living Facility - Assisted Living, Mental Illness in Plano, TX

Q: What is Creative Community Living Services's NPI number?

The NPI number for Creative Community Living Services is 1942583125. It was assigned to this organization in the NPPES registry on September 23, 2011.

Q: What is Creative Community Living Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since September 23, 2011

1201 LEGACY DR, 1913, PLANO, TX 75023(214) 440-2411(214) 440-2411 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Creative Community Living Services NPPES

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

CREATIVE COMMUNITY LIVING SERVICES (NPI 1942583125) is a healthcare organization registered as an assisted living, mental illness in Plano, Texas and active in the NPI registry since September 2011. The organization lists Tracy Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1942583125

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameCREATIVE COMMUNITY LIVING SERVICES

Location Address1201 LEGACY DR, 1913Plano, TX 75023

Mailing Address1201 Legacy Dr, 1913Plano, TX 75023 · (214) 440-2411 · Fax (214) 440-2411

Phone(214) 440-2411

Fax(214) 440-2411

Organization SubpartNo

Authorized OfficialTracy JohnsonOwner · (214) 440-2411

Enumeration DateSeptember 23, 2011

✔ NPI 1942583125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1201 LEGACY DR, Plano, TX 75023

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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 Community Living Services's NPI number?

The NPI number for Creative Community Living Services is 1942583125. It was assigned to this organization in the NPPES registry on September 23, 2011.

Where is Creative Community Living Services located?

Creative Community Living Services is located at 1201 Legacy Dr 1913, Plano, TX 75023. The listed phone number is (214) 440-2411.

What is Creative Community Living Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Creative Community Living Services was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.