Community Innovations Inc 63
NPI 1407931611 · Intellectual Disabilities Intermediate Care Facility · Holly Springs, NC
Community Innovations Inc 63 is a Intellectual Disabilities Intermediate Care Facility organization in Holly Springs, NC (NPI 1407931611).
Provider details
- NPI number
- 1407931611
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Andy Anderson, President(910) 642-5697
- License
- MHL092126 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Community Innovations Inc 63's NPI number?
- Community Innovations Inc 63's National Provider Identifier (NPI) is 1407931611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Innovations Inc 63?
- Community Innovations Inc 63 is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Community Innovations Inc 63 located?
- Community Innovations Inc 63's practice location on file with NPPES is 904 Avent Ferry Rd, Holly Springs, NC 27540-8416.
- What is Community Innovations Inc 63's phone number?
- The practice phone number listed in the NPPES registry for Community Innovations Inc 63 is (919) 577-6749.
- Who is the authorized official for Community Innovations Inc 63?
- The authorized official listed on Community Innovations Inc 63's NPPES record is Andy Anderson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Innovations Inc 63's NPI active?
- Yes — Community Innovations Inc 63's NPI (1407931611) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.