Park Avenue Home
Intermediate care facility for individuals with intellectual disabilities in Creedmoor, NC, Medicare certification number 34G145.
Medicare certification
Provider of Services- CCN
- 34G145
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Jun 6, 1990
- Last certification
- Mar 25, 2025
- Beds
- 6
- Address
- 105 Park Avenue
Creedmoor, NC 27522
(919) 528-2558
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual Disabilities Intermediate Care Facility
- Creedmoor, NC
- NPI 1760527238
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.