Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Innovations Inc 63

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1407931611

Community Innovations Inc 63 is an Intellectual Disabilities Intermediate Care Facility in Holly Springs, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

904 Avent Ferry Rd
Holly Springs, NC 27540-8416
Phone: (919) 577-6749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence MHL092126 (NC)

Record details

NPI number1407931611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andy Anderson — President · (910) 642-5697
NPI enumeratedOctober 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3210 Fairhill Dr, Raleigh, NC 27612-3220

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