SKILL CREATIONS OF GREENVILLE NPI 1932459153

NPI Information

NPI: 1932459153
Provider Name: SKILL CREATIONS OF GREENVILLE
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
2701 W FIFTH ST
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-8869
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SKILL CREATIONS OF GREENVILLE is an intermediate care facility mentally retarded in Greenville, NC. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. SKILL CREATIONS OF GREENVILLE NPI is 1932459153. The provider is registered as an organization entity type.

The provider's business location address is:

2701 W FIFTH ST
GREENVILLE, NC
ZIP 27834-817
Phone: (252) 752-8869

The provider's authorized official is Paul Hackmann .
The authorized official title is Ceo and has the following contact phone number (919) 734-7398.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 1/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	313M00000X	Nursing Facility/Intermediate Care Facility		MHL-074-012	NORTH CAROLINA	No
2	315P00000X	Intermediate Care Facility, Mentally Retarded		MHL-074-012	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3406425	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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