COMMUNITY INNOVATIONS


Address: 410 Peanut Plant Road, Elizabethtown, NC 28337
Phone: 9108628363

COMMUNITY INNOVATIONS (NPI# 1407057524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407057524
Entity Type Organization
Organization Name COMMUNITY INNOVATIONS
Practice Address 410 Peanut Plant Road
Elizabethtown
NC 28337
Mailing Address 3210 Fairhill Dr
Raleigh
NC 27612-3220
Practice Telephone 9108628363
Mailing Telephone 9192560824
Mailing Fax Number 9192568750
Enumeration Date 2007-05-29
Last Update Date 2008-10-01
Authorized Official Name ANDY ANDERSON (PRESIDENT)
Authorized Official Telephone 9106425697
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 6006054 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154532596 Community Innovations Psychiatry & Neurology 704 Progress Place, Suite B, Laurinburg, NC 28352-5545 2007-05-25
1912099623 Community Innovations Community/Behavioral Health 801 Wilson St, Whiteville, NC 28472-4713 2006-09-29
1760854681 Community Innovations In Home Supportive Care 3210 Fairhill Dr, Raleigh, NC 27612-3215 2015-10-30
1629207774 Community Innovations Community/Behavioral Health 1015 West Blvd, Laurinburg, NC 28352-4328 2009-07-10
1447452073 Community Innovations Community/Behavioral Health 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3197 2007-06-05
1003017179 Community Innovations Psychiatry & Neurology 118 E Walter St, Whiteville, NC 28472-4142 2007-05-29
1427259548 Community Innovations Community/Behavioral Health 704 Progress Pl, Laurinburg, NC 28352-5545 2007-05-29
1184825259 Community Innovations Community/Behavioral Health 118 E Walter St, Whiteville, NC 28472-4142 2007-05-29
1285845610 Community Innovations Psychiatry & Neurology 410 Peanut Plant Road, Elizabethtown, NC 28337 2007-05-25

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations COMMUNITY INNOVATIONS, INC. 120 Bloomingdale Rd #100, White Plains, Ny 10605

Office Location

Street Address 410 PEANUT PLANT ROAD
City ELIZABETHTOWN
State NC
Zip Code 28337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275614893 Community Innovations, Inc. Case Management 410 Peanut Plant Road, Elizabethtown, NC 28337-7103 2006-10-18
1285845610 Community Innovations Psychiatry & Neurology 410 Peanut Plant Road, Elizabethtown, NC 28337 2007-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801439799 John Archie Jackson Jr. Counselor 209 Martin Luther King Dr, Elizabethtown, NC 28337 2019-10-23
1649826447 Donna Marie Gray Technician 1797 Mercer Mill Rd, Elizabethtown, NC 28337 2019-08-16
1053972877 Professional Eye Care Optometry, Pa Optometrist 432 W Broad St, Elizabethtown, NC 28337 2019-06-24
1255896015 Andersons Drug Store LLC Durable Medical Equipment & Medical Supplies 206 S. Poplar St., Elizabethtown, NC 28337 2019-02-06
1336618602 Genese Anderson Peed Pharmacist 206 South Poplar, Elizabethtown, NC 28337 2018-11-16
1528559671 Bladen Healthcare LLC Clinic/Center 273 White Lake Dr, White Lake, NC 28337 2018-05-24
1821586918 Coastal Horizons Center Inc. Community/Behavioral Health Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 2018-04-25
1205353117 Brianna Stalnaker Pharmacist 371 S Poplar St, Elizabethtown, NC 28337 2017-08-23
1982124681 Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa Dentist 401 Doctors Drive, Elizabethtown, NC 28337 2017-06-23
1336676121 Megan Mcwhorter Physical Therapy Assistant 804 South Poplar Street, Elizabethtown, NC 28337 2017-05-11
Find all providers in zip 28337

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649765850 Coastal Horizons Center Inc Community/Behavioral Health 301 Mercer Mill Rd, Elizabethtown, NC 28337-3960 2018-06-29
1609236165 Dreamworks Therapeutic Learning Center Community/Behavioral Health 207 C South Poplar St, Elizabethtown, NC 28337 2016-02-26
1801234158 Monarch Community/Behavioral Health 412-b Peanut Road, Elizabethtown, NC 28377-0000 2013-06-10
1538394663 Access Nc, LLC Community/Behavioral Health 1360 Martin Luther King Drive, Elizabethtown, NC 28337 2009-05-19
1912148313 Direccare Behavioral Services, Inc. Community/Behavioral Health 129 W Broad St, Elizabethtown, NC 28337-9311 2009-03-13
1366682593 Missions Unlimited, LLC Community/Behavioral Health 2950 W Broad St, Elizabethtown, NC 28337-7137 2009-02-27
1780879825 Direccare Behavioral Services,inc Community/Behavioral Health 129 West Broad St., Suite C, Elizabethtown, NC 28337-9005 2007-09-12
1275740821 Community Innovations, Inc. Community/Behavioral Health 410 Peanut Plant Rd, Elizabethtown, NC 28337-9482 2007-05-16
1619014057 Communicare Inc Community/Behavioral Health 1311 N Dixie Ave Bldg D, Elizabethtown, KY 42701-2621 2007-02-01
1962915579 Collaborative Counseling Group Community/Behavioral Health 208 N Mulberry St, Elizabethtown, KY 42701-1464 2017-11-06
Find all providers in ELIZABETHTOWN

Competitor

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City ELIZABETHTOWN
Zip Code 28337

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Dataset Information

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.

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