SKILL CREATIONS OF KINSTON (NPI# 1275883498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275883498 |
Entity Type | Organization |
Organization Name | SKILL CREATIONS OF KINSTON |
Practice Address |
901 Doctors Dr Kinston NC 28501-1574 |
Mailing Address |
Po Box 1636 Goldsboro NC 27533-1636 |
Practice Telephone | 2525221738 |
Mailing Telephone | 9197347398 |
Enumeration Date | 2012-09-14 |
Last Update Date | 2019-01-18 |
Authorized Official Name | PAUL HACKMANN (CEO) |
Authorized Official Telephone | 9197347398 |
Is Organization Subpart | Y |
Parent Organization Name | SKILL CREATIONS INCORPORATED |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | MHL-054-010 | NC | Nursing & Custodial Care Facilities |
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL-054-010 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3406386 | 05 |
Street Address |
901 DOCTORS DR |
City | KINSTON |
State | NC |
Zip Code | 28501-1574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
Find all providers in zip 28501 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457578213 | Caswell Developmental Center | Intermediate Care Facility, Mentally Retarded | 2415 W Vernon Ave, Kinston, NC 28504 | 2007-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
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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.