Provider Demographics
NPI:1033933809
Name:THE CREATIVE MOBILITY GROUP, INC
Entity type:Organization
Organization Name:THE CREATIVE MOBILITY GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:STOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-595-4400
Mailing Address - Street 1:32217 STEPHENSON HWY
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-5519
Mailing Address - Country:US
Mailing Address - Phone:248-577-5430
Mailing Address - Fax:248-577-5450
Practice Address - Street 1:32217 STEPHENSON HWY
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-5519
Practice Address - Country:US
Practice Address - Phone:248-577-5430
Practice Address - Fax:248-577-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies