NPIMap

Organization Active NPI

Skill Creations Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Clinton, NC
National Provider Identifier
1053662437
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
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
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SKILL CREATIONS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3406347MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053662437. Details of each certification follow.

  • CCN 34G047 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G047

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SKILL CREATIONS OF CLINTON
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 9, 1986
Last certification
Apr 8, 2025
Beds
15
Ownership / control type
Private (non-profit)
Facility address
223 Forest Trail
Clinton, NC 28328

National Provider Directory

National Provider Directory
Tax ID family
Skill Creations Inc24 organizations share this tax ID, including this one
Part of
Skill Creations Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

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

Verify at the official NPI Registry.