COMMUNITY INNOVATIONS INC. NPI 1033294376

NPI Information

NPI: 1033294376
Provider Name: COMMUNITY INNOVATIONS INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
353 ELM ST
FAIR BLUFF, NC
ZIP 28439
Phone: (910) 649-6460
Get Directions

COMMUNITY INNOVATIONS INC. is an intermediate care facility mentally retarded in Fair Bluff, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMUNITY INNOVATIONS INC. NPI is 1033294376. The provider is registered as an organization entity type.

The provider's business location address is:

353 ELM ST
FAIR BLUFF, NC
ZIP 28439-594
Phone: (910) 649-6460

The provider's authorized official is Mary Johns Benson .
The authorized official title is Revenue Cycle Director and has the following contact phone number (704) 995-2131.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 5/15/2023.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities		MHL024021	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	340603J	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »