Community Innovations Inc 63

LBN: Community Innovations Inc 63
Community Innovations Inc 63 is an health care organization with primary practice located at 904 Avent Ferry Rd , Holly Springs NC 27540-8416. 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 63 can be contacted via phone (919) 577-6749, or through Anderson, Andy via phone (910) 642-5697.

Contact Information

Primary practice address
904 Avent Ferry Rd Holly Springs NC 27540-8416
Phone: (919) 577-6749
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Andy
Phone: (910) 642-5697

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL092126 North Carolina

Profile Details

NPI number 1407931611
LBN Legal business name Community Innovations Inc 63
DBA Doing business as
Authorized official Anderson, Andy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

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 1407931611 NPPES
North Carolina MEDICAID 340605J

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