NPIMap

Organization Active NPI

Community Innovations, Inc.

  • Case Management Agency
  • Elizabethtown, NC
National Provider Identifier
1275614893
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY INNOVATIONS, INC.
Practice address
410 Peanut Plant Road
Elizabethtown, NC 28337-7103
Phone
(910) 862-8363
Fax
(910) 862-8767
NPI assigned
Oct 18, 2006
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY INNOVATIONS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andy Anderson
Title
Owner/Ceo
Phone
(910) 739-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

410 Peanut Plant Road
Elizabethtown, NC 28337-7103

Mailing address

3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824

Other identifiers 1

IdentifierTypeStateIssuer
8300962BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Friendway Group Home48 organizations share this tax ID, including this one
Part of
Friendway Group Home

Other organizations with this tax ID 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1275614893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 FAIRHILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123215",
            "telephone_number": "919-256-0824",
            "fax_number": "919-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEANUT PLANT ROAD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283377103",
            "telephone_number": "910-862-8363",
            "fax_number": "910-862-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INNOVATIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY INNOVATIONS, INC",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "910-739-8849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300962B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.