OrganizationActive
Community Innovations Inc
NPI 1801971957 · Intellectual Disabilities Intermediate Care Facility · Richlands, NC
Provider details
- NPI number
- 1801971957
- 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
- MHL067019 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
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
359 Fire Tower Rd
Richlands, NC 28574-8161
Phone: (910) 455-5863
Street-level locationGet directions
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Registry dates
- Enumerated
- 2006-10-26
- 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.