OrganizationActive
Community Innovations Inc
NPI 1841377926 · Intellectual Disabilities Intermediate Care Facility · Climax, NC
Provider details
- NPI number
- 1841377926
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Benson, Revenue Cycle Director(365) 535-9463
- License
- MHL076023 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5691 Mack Lineberry Road
Climax, NC 27233-8076
Phone: (336) 685-4955
Approximate (ZIP-level) locationGet directions
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3220
Other names (DBA / former)
- Other name
- Timberlea Group Home
- Other name
- Timberlea Group Home
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.