Community Innovations Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Liberty, NC
NPI 1932286010 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1932286010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- MHL076022 (NC)
- Legal business name
- COMMUNITY INNOVATIONS INC
- Practice address
- 313 E Brookwood Avenue
Liberty, NC 27298-2608 - Phone
- (336) 622-3003
- 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 | MHL076022 | NC | Yes |
Addresses
Primary practice location
313 E Brookwood Avenue
Liberty, NC 27298-2608
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Phone (919) 390-2980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340608F | Medicaid | NC |
Other providers in Liberty, NC
- Caregivers of Liberty I
- Caregivers of Liberty II
- Carol Lee Family Care Home
- Cawh Rehabilitation Services, LLC.
- Janice Lanette Christenbury
- Nathan W Conroy
- Cozie'S Supervised Living Inc
- Cozie'S Supervised Living Inc.
- Ashley Brooke Crutchfield
- Curanex LLC
All providers in Liberty, 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 27, 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.