OrganizationActive
Community Innovations, Inc.
NPI 1356427330 · Intellectual Disabilities Intermediate Care Facility · Clarkton, NC
Provider details
- NPI number
- 1356427330
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Benson, Revenue Cycle Director(704) 995-2131
- License
- MHL009010 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
369 Hwy 211 S.
Clarkton, NC 28433
Phone: (910) 647-4421
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2023-05-15
- Certified
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.