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WILKINSON FACILITY
NPI 1013502954
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Pauls, NC

Active since March 03, 2021
635 N WILKINSON DR, SAINT PAULS, NC 28384(910) 323-1335(910) 223-2180 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2023, Dec 13, 2022, Mar 3, 2021 (3 updates tracked since 2021).

About Wilkinson Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILKINSON FACILITY (NPI 1013502954) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Saint Pauls, North Carolina and active in the NPI registry since March 2021. The organization lists Nikki G Creecy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013502954
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSHINELIGHT, INC
Location Address635 N WILKINSON DRSaint Pauls, NC 28384-1247
Mailing Address203 Rowan StFayetteville, NC 28301-4921 · (910) 323-1335
Phone(910) 323-1335
Fax(910) 223-2180
Organization SubpartYes
Authorized OfficialNikki G CreecyCeo · (910) 323-1335
Enumeration DateMarch 3, 2021
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1013502954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
635 N WILKINSON DR, Saint Pauls, NC 28384
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Other Names 1

Doing Business AsWilkinson Facility

Other Identifiers 1

Medicaid3418071NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shinelight, Inc's NPI number?

The NPI number for Shinelight, Inc is 1013502954. It was assigned to this organization in the NPPES registry on March 3, 2021. The provider is doing business as Wilkinson Facility.

Where is Shinelight, Inc located?

Shinelight, Inc is located at 635 N Wilkinson Dr, Saint Pauls, NC 28384. The listed phone number is (910) 323-1335.

What is Shinelight, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Shinelight, Inc was last updated on January 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.