Active NPI
Baptist Children'S Homes of North Carolina
- Mental Illness Community Based Residential Treatment Facility
- Clyde, NC
National Provider Identifier
1033259403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- B00016
- Legal business name
- BAPTIST CHILDREN'S HOMES OF NORTH CAROLINA
- Practice address
- 111 Sneed Dr
Clyde, NC 28721-8468 - Phone
- (828) 627-9254
- Fax
- (828) 627-8811
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel V. Barefoot
- Title
- Treasurer Cfo
- Phone
- (336) 474-1224
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | B00016 | NC | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | B00016 | NC | Primary |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | B00016 | NC |
Addresses
Primary practice location
111 Sneed Dr
Clyde, NC 28721-8468
Mailing address
204 Idol St
P. O. Box 338
Thomasville, NC 27360-4514
Phone (336) 474-1276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005611 | Medicaid | NC |
Other names 1
- Western Area
National Provider Directory
National Provider Directory- Tax ID family
- Baptist Childrens Homes of NC Inc
Other organizations with this tax ID 17
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Dunn, NC
- NPI 1306971460
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Asheboro, NC
- NPI 1699957183
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sanford, NC
- NPI 1922254085
-
- Community/Behavioral Health Agency
- Franklin, NC
- NPI 1477712768
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Sanford, NC
- NPI 1730372525
-
- Mental Illness Community Based Residential Treatment Facility
- Lenoir, NC
- NPI 1669512067
-
- Mental Illness Community Based Residential Treatment Facility
- Kinston, NC
- NPI 1689713513
-
- Community/Behavioral Health Agency
- Thomasville, NC
- NPI 1902946411
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Zionville, NC
- NPI 1003038779
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Marshville, NC
- NPI 1003941097
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Winston Salem, NC
- NPI 1194850180
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Winston Salem, NC
- NPI 1285769265
Locations
111 Sneed Dr
Clyde, NC 28721
Phone (828) 627-9254
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Clyde, NC
- NPI 1285769745
-
- Professional Counselor
- Clyde, NC
- NPI 1104951763
-
- Professional Counselor
- Clyde, NC
- NPI 1235264714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1033259403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 IDOL ST",
"address_2": "P. O. BOX 338",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273604514",
"telephone_number": "336-474-1276",
"fax_number": "336-472-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SNEED DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218468",
"telephone_number": "828-627-9254",
"fax_number": "828-627-8811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST CHILDREN'S HOMES OF NORTH CAROLINA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BAREFOOT",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "TREASURER CFO",
"authorized_official_telephone_number": "336-474-1224",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "B00016",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "B00016",
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "B00016",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005611",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Western Area",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.