NPIMap

Organization Active NPI

Community Innovations Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Holly Springs, NC
National Provider Identifier
1750469698
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL092131 Issued in NC
Legal business name
COMMUNITY INNOVATIONS INC
Practice address
912 Avent Ferry Rd
Holly Springs, NC 27540-8416
Phone
(919) 557-6337
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mary Johns Benson
Title
Revenue Cycle Director
Phone
(704) 995-2131

Corporate family (same tax ID) 47

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

View all 47

National Provider Directory

National Provider Directory
Tax ID family
Community Innovations (48 organizations share this tax ID)

Locations

912 Avent Ferry Rd
Holly Springs, NC 27540
Phone (919) 557-6337

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL092131 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

912 Avent Ferry Rd
Holly Springs, NC 27540-8416

Mailing address

4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Phone (047) 995-2131

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
340605WMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2023.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1750469698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PARAMOUNT PKWY STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608484",
            "telephone_number": "047-995-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 AVENT FERRY RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408416",
            "telephone_number": "919-557-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOHNS",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "704-995-2131"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL092131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340605W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.