NPIMap

Organization Active NPI

Skill Creations Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Wilson, NC
National Provider Identifier
1104176338
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-098-005 Issued in NC
Legal business name
SKILL CREATIONS INC
Practice address
2000 Martin Luther King Jr Pkwy SE
Wilson, NC 27893-5657
Phone
(919) 734-7398
NPI assigned
Sep 14, 2012
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-098-005 NC
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-098-005 NC Primary

Addresses

Primary practice location

2000 Martin Luther King Jr Pkwy SE
Wilson, NC 27893-5657

Mailing address

PO Box 1636
Goldsboro, NC 27533-1636
Phone (919) 734-7398

Other identifiers 1

IdentifierTypeStateIssuer
3406416MedicaidNC

Medicare participation

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G079

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 WILSON
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 26, 1988
Last certification
Apr 8, 2025
Beds
15
Ownership / control type
Private (proprietary)
Facility address
2000 Martin Luther King Jr Parkway
Wilson, NC 27893

National Provider Directory

National Provider Directory
Tax ID family
Skill Creations of Clinton24 organizations share this tax ID, including this one
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.

View all 23

Locations

2000 Martin Luther King Jr Pkwy SE
Wilson, NC 27893
Phone (919) 734-7398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1104176338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331636",
            "telephone_number": "919-734-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARTIN LUTHER KING JR PKWY SE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278935657",
            "telephone_number": "919-734-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILL CREATIONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILL CREATIONS INCORPORATED",
        "enumeration_date": "2012-09-14",
        "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-098-005",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-098-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406416",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.