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WESTSIDE RESIDENTIAL
NPI 1841375102
Intermediate Care Facility, Intellectual Disabilities in Orrum, NC

Active since October 26, 2006
467 CREEK ROAD, ORRUM, NC 28369(910) 618-0777 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westside Residential NPPES

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

WESTSIDE RESIDENTIAL (NPI 1841375102) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Orrum, North Carolina and active in the NPI registry since October 2006. The organization lists Harold E Jones, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1841375102
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY INNOVATIONS INC
Location Address467 CREEK ROADOrrum, NC 28369-9269
Mailing Address3210 Fairhill DrRaleigh, NC 27612-3220 · (919) 256-0824
Phone(910) 618-0777
Organization SubpartNo
Authorized OfficialHarold E JonesSenior Vice President · (919) 256-0824
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 26, 2007
✔ NPI 1841375102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NC · MHL078049
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
467 CREEK ROAD, Orrum, NC 28369
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Other Names 1

Other NameWestside Residential

Other Identifiers 1

Medicaid340602MNC

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 Community Innovations Inc's NPI number?

The NPI number for Community Innovations Inc is 1841375102. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is also known as Westside Residential.

Where is Community Innovations Inc located?

Community Innovations Inc is located at 467 Creek Road, Orrum, NC 28369. The listed phone number is (910) 618-0777.

What is Community Innovations Inc'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 Community Innovations Inc was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.