OrganizationActive
Community Innovations Inc
NPI 1932286010 · Intellectual Disabilities Intermediate Care Facility · Liberty, NC
Provider details
- NPI number
- 1932286010
- 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
- MHL076022 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
313 E Brookwood Avenue
Liberty, NC 27298-2608
Phone: (336) 622-3003
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2023-04-27
- Certified
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.