Community Innovations Inc 63 in Holly Springs - Intermediate Care Facility, Intellectual Disabilities
Community Innovations Inc 63 - NPI 1407931611
Community Innovations Inc 63 is a Intermediate Care Facility, Intellectual Disabilities in Holly Springs, North Carolina. Community Innovations Inc 63 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Innovations Inc 63 is 1407931611. The last update date is 2020-08-22.
Community Innovations Inc 63's current location address is 904 Avent Ferry Rd, Holly Springs, North Carolina. You can contact this provider via phone number 9195776749. The mailing address for Community Innovations Inc 63 is 904 Avent Ferry Rd, Holly Springs, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Innovations Inc 63 |
|---|---|
| Address | 904 Avent Ferry Rd, Holly Springs, North Carolina |
| Phone Number | 9195776749 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Anderson Andy |
| Telephone Number | 9106425697 |
NPI Number Detail
| NPI Number | 1407931611 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 904 Avent Ferry Rd |
|---|---|
| City | Holly Springs |
| State | North Carolina (NC) |
| Post Code | 275408416 |
| Phone Number | 9195776749 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | MHL092126 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340605J | NC | -- |
Post Comment/ Review Below
What is the Community Innovations Inc 63's 1407931611?
The Community Innovations Inc 63's NPI (National Provider Identifier) Number is 1407931611. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Community Innovations Inc 63 located?
The Community Innovations Inc 63 is located at 904 Avent Ferry Rd, Holly Springs, NC 275408416.
What is Community Innovations Inc 63's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Innovations Inc 63 is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407931611 to Community Innovations Inc 63?
The Centers for Medicare & Medicaid Services assigned the 1407931611 to Community Innovations Inc 63 on 2006-10-26.
As of what date was the information pertaining to Community Innovations Inc 63, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Community Innovations Inc 63, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.