Community Innovations Inc

LBN: Community Innovations Inc
Community Innovations Inc is an health care organization with primary practice located at 68 Mitchell Ford Road , Clarkton NC 28433. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Community Innovations Inc can be contacted via phone (910) 647-2801, or through Benson, Mary Johns via phone (704) 995-2131.

Contact Information

Primary practice address
68 Mitchell Ford Road Clarkton NC 28433
Phone: (910) 647-2801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benson, Mary Johns
Phone: (704) 995-2131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL009009 North Carolina

Profile Details

NPI number 1497832471
LBN Legal business name Community Innovations Inc
DBA Doing business as
Authorized official Benson, Mary Johns
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497832471 NPPES
North Carolina MEDICAID 340601X

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