COMMUNITY INNOVATIONS, INC. (NPI# 1154645554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154645554 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS, INC. |
| Practice Address |
805 Wilson St Whiteville NC 28472-4713 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
| Practice Telephone | 9106425697 |
| Practice Fax Number | 9106428039 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192560833 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | HAROLD E JONES JR. (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9192560824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275740821 | Community Innovations, Inc. | Community/Behavioral Health | 410 Peanut Plant Rd, Elizabethtown, NC 28337-9482 | 2007-05-16 |
| 1255548863 | Community Innovations, Inc. | Community/Behavioral Health | 1503 S Glen Burnie Rd, New Bern, NC 28562-1503 | 2007-05-16 |
| 1780756056 | Community Innovations, Inc. | Case Management | 1503 S Glen Burnie Road, New Bern, NC 28562-1503 | 2006-11-14 |
| 1740350446 | Community Innovations, Inc. | Case Manager/Care Coordinator | 1104 W. Broad St, Elizabethtown, NC 28337 | 2006-11-09 |
| 1679643373 | Community Innovations, Inc. | Counselor | 1781 South Main Street, Laurinburg, NC 28352 | 2006-11-09 |
| 1275614893 | Community Innovations, Inc. | Case Management | 410 Peanut Plant Road, Elizabethtown, NC 28337-7103 | 2006-10-18 |
| 1932298262 | Community Innovations, Inc. | Case Management | 118 E Walter St, Whiteville, NC 28472-4142 | 2006-10-12 |
| 1972692960 | Community Innovations, Inc. | Case Management | 704 Progress Pl, Ste B, Laurinburg, NC 28352-5545 | 2006-10-11 |
| 1265708549 | Community Innovations, Inc. | Counselor | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-30 |
| 1164798518 | Community Innovations, Inc. | Psychiatry & Neurology | 3972 Business 17 E, Ste C, Bolivia, NC 28422-9030 | 2012-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY INNOVATIONS, INC. | 120 Bloomingdale Rd #100, White Plains, Ny 10605 |
| Street Address |
805 WILSON ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447790803 | Monarch | Community/Behavioral Health | 1019 S Madison St, Whiteville, NC 28472-4503 | 2017-03-06 |
| 1184089658 | Pathways Counseling Services Pllc | Community/Behavioral Health | 802 S Franklin St, Whiteville, NC 28472-4708 | 2015-12-28 |
| 1306274519 | Coastal Community Management LLC | Community/Behavioral Health | 725 Wedgewood Rd, Whiteville, NC 28472-2928 | 2013-10-24 |
| 1770921025 | Monarch | Community/Behavioral Health | 626 S Madison St, Whiteville, NC 28472-4130 | 2013-06-10 |
| 1144587866 | Ace Enrichment Services, Inc. | Community/Behavioral Health | 204 W Virgil St, Whiteville, NC 28472-4018 | 2012-04-19 |
| 1679880520 | Wilmar Counseling, Pllc | Community/Behavioral Health | 158 Country Club Rd, Whiteville, NC 28472-9131 | 2010-09-13 |
| 1164756623 | Lifechangingbehavioralhealthservices | Community/Behavioral Health | 18 Whiteville Mini Mall, Whiteville, NC 28472-2105 | 2009-09-30 |
| 1689800484 | Superb Care, LLC | Community/Behavioral Health | 805 N Franklin St Ste 110, Whiteville, NC 28472-2734 | 2009-06-08 |
| 1053552315 | Southeastern United Care,llc | Community/Behavioral Health | 138 Memory Plaza, Whiteville, NC 28472-2640 | 2009-03-17 |
| 1134309529 | Southeastern United Care LLC | Community/Behavioral Health | 138 Memory Plz, Whiteville, NC 28472-2640 | 2007-11-14 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.