Active NPI
Skill Creations Inc
- Intellectual Disabilities Intermediate Care Facility
- Clinton, NC
National Provider Identifier
1053662437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- MHL-028-003
- Legal business name
- SKILL CREATIONS INC
- Practice address
- 223 Forest Trail
Clinton, NC 28328-3353 - Phone
- (910) 592-0110
- NPI assigned
- Sep 26, 2012
- Organization subpart
- Yes
- Parent organization
- SKILL CREATIONS INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Hackmann
- Title
- Ceo
- Phone
- (919) 734-7398
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | MHL-028-003 | NC | |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-028-003 | Primary |
Addresses
Primary practice location
223 Forest Trail
Clinton, NC 28328-3353
Mailing address
PO Box 676
Clinton, NC 28329-0676
Phone (910) 592-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406347 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Skill Creations of Clinton
- Part of
- Skill Creations of Clinton
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Goldsboro, NC
- NPI 1194077024
-
- Intellectual Disabilities Intermediate Care Facility
- Rocky Mount, NC
- NPI 1073863296
-
- Intellectual Disabilities Intermediate Care Facility
- Winterville, NC
- NPI 1093066375
-
- Intellectual Disabilities Intermediate Care Facility
- Wilson, NC
- NPI 1104176338
-
- Intellectual Disabilities Intermediate Care Facility
- Roanoke Rapids, NC
- NPI 1124031349
-
- Intellectual Disabilities Intermediate Care Facility
- Morganton, NC
- NPI 1184974396
-
- Intellectual Disabilities Intermediate Care Facility
- Kinston, NC
- NPI 1275883498
-
- Intellectual Disabilities Intermediate Care Facility
- Rocky Mount, NC
- NPI 1427308659
-
- Intellectual Disabilities Intermediate Care Facility
- Sanford, NC
- NPI 1508116732
-
- Intellectual Disabilities Intermediate Care Facility
- Tarboro, NC
- NPI 1689924813
-
- Intellectual Disabilities Intermediate Care Facility
- Wilmington, NC
- NPI 1750632030
-
- Intellectual Disabilities Intermediate Care Facility
- Durham, NC
- NPI 1760732994
Locations
223 Forest Trl
Clinton, NC 28328
Phone (910) 592-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1053662437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 676",
"city": "CLINTON",
"state": "NC",
"postal_code": "283290676",
"telephone_number": "910-592-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 FOREST TRAIL",
"city": "CLINTON",
"state": "NC",
"postal_code": "283283353",
"telephone_number": "910-592-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILL CREATIONS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SKILL CREATIONS INCORPORATED",
"enumeration_date": "2012-09-26",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "HACKMANN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-734-7398"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NC",
"license": "MHL-028-003",
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": "MHL-028-003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406347",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.