COMMUNITY INNOVATIONS INC NPI 1841375102

NPI Information

  • NPI: 1841375102
  • Provider Name: COMMUNITY INNOVATIONS INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: WESTSIDE RESIDENTIAL
  • Address: 467 CREEK ROAD
    ORRUM, NC
    ZIP 28369
  • Phone: (910) 618-0777

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NPI Details

COMMUNITY INNOVATIONS INC is an intermediate care facility mentally retarded in Orrum, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMUNITY INNOVATIONS INC NPI is 1841375102. The provider is registered as an organization entity type.
The provider Other Name Is Westside Residential.

The provider's business location address is:

467 CREEK ROAD
ORRUM, NC
ZIP 28369-269
Phone: (910) 618-0777

The provider's authorized official is Harold E Jones .
The authorized official title is Senior Vice President and has the following contact phone number (919) 256-0824.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 7/26/2007.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL078049NORTH CAROLINAYes

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
1340602MMEDICAIDNORTH 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: 11/21/2025

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