NPIMap

Organization Active NPI

Skill Creations Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Roanoke Rapids, NC
National Provider Identifier
1124031349
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-042-015 Issued in 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
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
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-042-015 NC Primary

Addresses

Primary practice location

105 Clearfield Dr
Roanoke Rapids, NC 27870-3327

Mailing address

PO Box 1636
Goldsboro, NC 27533-1636

Other identifiers 16

IdentifierTypeStateIssuer
340605GMedicaidNC
3406250MedicaidNC
340603TMedicaidNC
3406133MedicaidNC
3406425MedicaidNC
3416197MedicaidNC
3406234MedicaidNC
3406347MedicaidNC
3406401MedicaidNC
3406416MedicaidNC
3406243MedicaidNC
3406386MedicaidNC
3406065MedicaidNC
3406361MedicaidNC
3406339MedicaidNC
3406370MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Skill Creations24 organizations share this tax ID, including this one
Part of
Skill Creations

Other organizations with this tax ID 23

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

View all 23

Locations

105 Clearfield Dr
Roanoke Rapids, NC 27870
Phone (252) 308-0902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1124031349",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLEARFIELD DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703327",
            "telephone_number": "252-308-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILL CREATIONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILL CREATIONS INCORPORATED",
        "enumeration_date": "2006-08-15",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-042-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340605G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406250",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340603T",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406133",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406425",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416197",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406234",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406347",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406401",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406416",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406243",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406386",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406065",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406361",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406339",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406370",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, 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.

Verify at the official NPI Registry.