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SUPERIOR INNOVATIVE SERVICES II
NPI 1104762996
Peer Specialist in Castle Hayne, NC

Active since April 25, 2026
5000 BLUE CLAY RD STE D, CASTLE HAYNE, NC 28429(910) 352-9720 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Superior Innovative Services Ii NPPES

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

SUPERIOR INNOVATIVE SERVICES II (NPI 1104762996) is a healthcare organization registered as a peer specialist in Castle Hayne, North Carolina and active in the NPI registry since April 2026. The organization lists Charles Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104762996
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameSUPERIOR INNOVATIVE SERVICES II
Location Address5000 BLUE CLAY RD STE DCastle Hayne, NC 28429-6302
Mailing AddressPo Box 308Hampstead, NC 28443-0308 · (910) 352-9720
Phone(910) 352-9720
Organization SubpartNo
Authorized OfficialCharles DavisCeo · (910) 352-9720
Enumeration DateApril 25, 2026
NPPES CertifiedApril 25, 2026
✔ NPI 1104762996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
5000 BLUE CLAY RD STE D, Castle Hayne, NC 28429
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Superior Innovative Services II's NPI number?

The NPI number for Superior Innovative Services II is 1104762996. It was assigned to this organization in the NPPES registry on April 25, 2026.

Where is Superior Innovative Services II located?

Superior Innovative Services II is located at 5000 Blue Clay Rd Ste D, Castle Hayne, NC 28429. The listed phone number is (910) 352-9720.

What is Superior Innovative Services II's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Superior Innovative Services II was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.