COMMUNITY INNOVATIONS, INC. (NPI# 1740350446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740350446 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS, INC. |
| Practice Address |
1104 W. Broad St Elizabethtown NC 28337 |
| Mailing Address |
2003 Godwin Ave Suite A Lumberton NC 28358-3197 |
| Practice Telephone | 9108628363 |
| Practice Fax Number | 9108628767 |
| Mailing Telephone | 9107398849 |
| Mailing Fax Number | 9107398698 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDY ANDERSON (CEO PRESIDENT) |
| Authorized Official Telephone | 9107398849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
NC | Behavioral Health & Social Service Providers | |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
NC | Behavioral Health & Social Service Providers | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300962 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154645554 | Community Innovations, Inc. | Community/Behavioral Health | 805 Wilson St, Whiteville, NC 28472-4713 | 2010-03-15 |
| 1275740821 | Community Innovations, Inc. | Community/Behavioral Health | 410 Peanut Plant Rd, Elizabethtown, NC 28337-9482 | 2007-05-16 |
| 1255548863 | Community Innovations, Inc. | Community/Behavioral Health | 1503 S Glen Burnie Rd, New Bern, NC 28562-1503 | 2007-05-16 |
| 1780756056 | Community Innovations, Inc. | Case Management | 1503 S Glen Burnie Road, New Bern, NC 28562-1503 | 2006-11-14 |
| 1679643373 | Community Innovations, Inc. | Counselor | 1781 South Main Street, Laurinburg, NC 28352 | 2006-11-09 |
| 1275614893 | Community Innovations, Inc. | Case Management | 410 Peanut Plant Road, Elizabethtown, NC 28337-7103 | 2006-10-18 |
| 1932298262 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-10-12 |
| 1972692960 | Community Innovations, Inc. | Case Management | 704 Progress Pl, Ste B, Laurinburg, NC 28352-5545 | 2006-10-11 |
| 1265708549 | Community Innovations, Inc. | Counselor | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-30 |
| 1164798518 | Community Innovations, Inc. | Psychiatry & Neurology | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY INNOVATIONS, INC. | 120 Bloomingdale Rd #100, White Plains, Ny 10605 |
| Street Address |
1104 W. BROAD ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052823 | Mary Elizabeth Durgan | Case Manager/Care Coordinator | Essex County Health Department, Childrens Service Unit 132 Water Street, Elizabethtown, NY 12932 | 2020-04-23 |
| 1437624814 | Renest Recovery Support Services | Case Manager/Care Coordinator | 226 Adams Rd Apt A, Elizabethtown, KY 42701-1061 | 2018-10-11 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1699144006 | Sunday Sue Clauson | Case Manager/Care Coordinator | 2022 Oak Meadow Dr, Elizabethtown, KY 42701-5501 | 2015-09-16 |
| 1912375130 | Olive Branch Integrated Care Services | Case Manager/Care Coordinator | 200 W Broad St, Elizabethtown, NC 28337-9303 | 2015-09-03 |
| 1629479878 | Roberta Payne | Case Manager/Care Coordinator | 2935 Dolphin Dr Bldg 21, Elizabethtown, KY 42701-4111 | 2014-09-08 |
| 1386066793 | Lucy J Dunford | Case Manager/Care Coordinator | 219 Poplar Trce, Elizabethtown, KY 42701-8087 | 2014-01-21 |
| 1902194137 | Christina Lynn Abel | Case Manager/Care Coordinator | 3786 S Dixie Hwy, Elizabethtown, KY 42701-8339 | 2011-07-21 |
| 1851545552 | Susan Smith Sneed | Case Manager/Care Coordinator | 1014 Navaho Dr, Elizabethtown, KY 42701-2023 | 2008-11-07 |
| 1649463100 | Nancy Claycomb Hazle | Case Manager/Care Coordinator | 805 Dogwood Pl, Elizabethtown, KY 42701-2189 | 2007-08-19 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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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.