Community Innovations Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Clarkton, NC
NPI 1497832471 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1497832471
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- MHL009009 (NC)
- Legal business name
- COMMUNITY INNOVATIONS INC
- Practice address
- 68 Mitchell Ford Road
Clarkton, NC 28433 - Phone
- (910) 647-2801
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary Johns Benson
- Title
- Revenue Cycle Director
- Phone
- (704) 995-2131
Corporate family (same tax ID) 47
National Provider Directory
- Tax ID family
- Community Innovations
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL009009 | NC | Yes |
Addresses
Primary practice location
68 Mitchell Ford Road
Clarkton, NC 28433
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Phone (704) 995-2131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340601X | Medicaid | NC |
Other providers in Clarkton, NC
- Stephen Burney Bridgers
- Cape Fear Manor
- Clarkton Drug Inc.
- Clarkton Health Center PA
- Clarkton Rescue Squad
- Community Innovations, Inc.
- Core Medical Supply, LLC
- Silverio Castro Enojado
- Family Alternatives
- Fresh Start Counseling Services,LLC
All providers in Clarkton, 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 Apr 19, 2023. 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.