COMMUNITY INNOVATIONS, INC. 51 (NPI# 1356427330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356427330 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS, INC. 51 |
| Practice Address |
369 Hwy 211 S. Clarkton NC 28433 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3220 |
| Practice Telephone | 9106474421 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192568750 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDY ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 9106425697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL009010 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 340603M | 05 |
| Street Address |
369 HWY 211 S. |
| City | CLARKTON |
| State | NC |
| Zip Code | 28433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416496 | Healing Heartsnc | Home Health | 1364 Hwy 211 West, Clarkton, NC 28433 | 2020-10-27 |
| 1699249748 | Steven Jernigan | Nurse Practitioner | 9858 North W. R. Latham Street, Clarkton, NC 28433 | 2019-01-11 |
| 1972866804 | Assisted Greatness | Assisted Living Facility | 53 South Smith St, Clarkton, NC 28433 | 2012-06-15 |
| 1093006959 | Rha Health Services Nc, LLC | Community/Behavioral Health | 88 East Green Street, Clarkton, NC 28433 | 2011-04-27 |
| 1033396155 | Southeastern Regional Medical Center | Clinic/Center | 9928 N. W.r. Lathan Street, Clarkton, NC 28433 | 2008-01-31 |
| 1548381551 | Bladen Medical Associates | Physician Assistant | 88 East Greene Street, Clarkton, NC 28433 | 2007-04-03 |
| 1427114420 | Cape Fear Manor | Custodial Care Facility | 53 S. Smith St., Clarkton, NC 28433 | 2006-12-28 |
| 1265595813 | Family Alternatives | Community/Behavioral Health | 88 E. Green Street, Clarkton, NC 28433 | 2006-12-18 |
| 1497832471 | Community Innovations, Inc. 53 | Intermediate Care Facility, Mentally Retarded | 68 Mitchell Ford Road, Clarkton, NC 28433 | 2006-11-01 |
| 1811071269 | John M Hall | Dentist | 160 W Green St, Clarkton, NC 28433 | 2006-10-24 |
| Find all providers in zip 28433 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497832471 | Community Innovations, Inc. 53 | Intermediate Care Facility, Mentally Retarded | 68 Mitchell Ford Road, Clarkton, NC 28433 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.