Skill Creations Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Roanoke Rapids, NC
NPI 1124031349 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1124031349
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- MHL-042-015 (NC)
- Legal business name
- SKILL CREATIONS INC
- Practice address
- 105 Clearfield Dr
Roanoke Rapids, NC 27870-3327 - Phone
- (252) 308-0902
- NPI assigned
- Aug 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SKILL CREATIONS INCORPORATED
Authorized official
- Name
- Paul Hackmann
- Title
- Ceo
- Phone
- (919) 734-7398
Corporate family (same tax ID) 23
Practitioners 1
-
Erich Waverly Smith, PA-C
National Provider Directory
- Tax ID family
- Skill Creations of Clinton
- Part of
- Skill Creations of Clinton
Locations
105 Clearfield Dr
Roanoke Rapids, NC 27870
Phone (252) 308-0902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-042-015 | NC | Yes |
Addresses
Primary practice location
105 Clearfield Dr
Roanoke Rapids, NC 27870-3327
Mailing address
PO Box 1636
Goldsboro, NC 27533-1636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406133 | Medicaid | NC | |
| 3406234 | Medicaid | NC | |
| 3406361 | Medicaid | NC | |
| 3406416 | Medicaid | NC | |
| 340605G | Medicaid | NC | |
| 3406243 | Medicaid | NC | |
| 3406347 | Medicaid | NC | |
| 3416197 | Medicaid | NC | |
| 340603T | Medicaid | NC | |
| 3406250 | Medicaid | NC | |
| 3406425 | Medicaid | NC | |
| 3406401 | Medicaid | NC | |
| 3406065 | Medicaid | NC | |
| 3406339 | Medicaid | NC | |
| 3406386 | Medicaid | NC | |
| 3406370 | Medicaid | NC |
Other providers in Roanoke Rapids, NC
- Taylor Shepardson
- Shiva K. Rao MD PC
- Travis Antonio Shoulars
- Lawrence D Singer
- Holly Skaggs
- Smith Church Obstetrics & Gynecology, PC
- Chester Smith
- Christine E Smith
- Harris Jesse Smith
- Princess Smith
All providers in Roanoke Rapids, NC · Intellectual Disabilities Intermediate Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.