Innovative Cognitive Services, Inc.

LBN: Innovative Cognitive Services, Inc.
Innovative Cognitive Services, Inc. is an health care organization with primary practice located at 410 South Jones Street , Pembroke NC 28372. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Innovative Cognitive Services, Inc. can be contacted via phone (910) 521-3009, or through Oxendine, Reginald Lee via phone (910) 521-3009.

Contact Information

Primary practice address
410 South Jones Street Pembroke NC 28372
Fax: (910) 521-3010
Website:
Authorized official contact:
Name: Oxendine, Reginald Lee EDD

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-078-191 North Carolina

Profile Details

NPI number 1871709774
LBN Legal business name Innovative Cognitive Services, Inc.
DBA Doing business as
Authorized official Oxendine, Reginald Lee EDD
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated May 14th, 2009 - about 15 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 1871709774 NPPES
North Carolina MEDICAID 8302075

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