INNOVATIVE COGNITIVE SERVICES, INC. – NPI #1871709774
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

INNOVATIVE COGNITIVE SERVICES, INC. is a residential treatment facility located in PEMBROKE, NC. NPPES has assigned the NPI number 1871709774 to INNOVATIVE COGNITIVE SERVICES, INC. on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 17 years ago on May 14, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATIVE COGNITIVE SERVICES, INC. below.

NPI Profile for
INNOVATIVE COGNITIVE SERVICES, INC.

NPI Number
1871709774
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATIVE COGNITIVE SERVICES, INC.
Primary location
410 SOUTH JONES STREET
PEMBROKE, NC 28372
Phone: (910) 521-3009 Fax: (910) 521-3010
Mailing address
PO BOX 3695
PEMBROKE, NC 28372-3695
Phone: (910) 521-3009 Fax: (910) 521-3010
Organization Subpart
No
Authorized Official
REGINALD OXENDINE
PRESIDENT
Phone: (910) 521-3009
Updated
Identifiers

Identifiers for INNOVATIVE COGNITIVE SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC8302075
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
NC MHL-078-191

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.