Timberlea Group Home

LBN: Community Innovations Inc
Timberlea Group Home is an health care organization with primary practice located at 5691 Mack Lineberry Road , Climax NC 27233-8076. 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 (336) 685-4955, or through Benson, Mary via phone (365) 535-9463.

Contact Information

Primary practice address
5691 Mack Lineberry Road Climax NC 27233-8076
Phone: (336) 685-4955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benson, Mary
Phone: (365) 535-9463

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL076023 North Carolina

Profile Details

NPI number 1841377926
LBN Legal business name Community Innovations Inc
DBA Doing business as Timberlea Group Home
Authorized official Benson, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 12th, 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 1841377926 NPPES
North Carolina MEDICAID 340608T

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