1. Home
  2. Directory
  3. North Carolina
  4. Tarboro
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

SKILL CREATIONS OF TARBORO
NPI 1689924813
Intermediate Care Facility, Intellectual Disabilities in Tarboro, NC

Active since September 14, 2012
811 WESTERN BLVD, TARBORO, NC 27886(252) 641-1141 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Skill Creations Of Tarboro NPPES

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

SKILL CREATIONS OF TARBORO (NPI 1689924813) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tarboro, North Carolina and active in the NPI registry since September 2012. The organization lists Paul Hackmann, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689924813
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSKILL CREATIONS OF TARBORO
Location Address811 WESTERN BLVDTarboro, NC 27886-4014
Mailing AddressPo Box 1636Goldsboro, NC 27533-1636 · (919) 734-7398
Phone(252) 641-1141
Organization SubpartYesParent: Skill Creations Incorporated
Authorized OfficialPaul HackmannCeo · (919) 734-7398
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJanuary 18, 2019
✔ NPI 1689924813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NC · MHL-033-008
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License MHL-033-008 (MT)
811 WESTERN BLVD, Tarboro, NC 27886
Open in Google Maps ↗

Other Identifiers 1

Medicaid3406401NC

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 Skill Creations Of Tarboro's NPI number?

The NPI number for Skill Creations Of Tarboro is 1689924813. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Skill Creations Of Tarboro located?

Skill Creations Of Tarboro is located at 811 Western Blvd, Tarboro, NC 27886. The listed phone number is (252) 641-1141.

What is Skill Creations Of Tarboro's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Skill Creations Of Tarboro was last updated on January 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.