Bac Developmental Program Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BAC DEVELOPMENTAL PROGRAM INC

Practice address

2203 Coliseum Blvd
Greensboro, NC 27403-3214

Phone

(336) 268-7089

NPI assigned

Nov 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominick Earl Mitchell

Title

Asst Program Manager

Phone

(336) 268-7089

Specialties & licenses 1

Addresses

Tax ID family

Bac Developmental Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bac Developmental Program Inc

  • Developmental Disabilities Clinic/Center
  • Greensboro, NC
  • NPI 1093215972
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1083127997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 COLISEUM BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 COLISEUM BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033214",
            "telephone_number": "336-268-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAC DEVELOPMENTAL PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "ASST PROGRAM MANAGER",
        "authorized_official_telephone_number": "336-268-7089"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahirah Ba'TH
• Shad M Baab, M.D.
• Gregory Allen Babcock, M.D.
• Peter Edward Babcock, ACNP
• Sara Babcock, SLP
• Bac Developmental Program Inc
• Bac Developmental Program Inc
• Back in Balance Gso, Inc.
• Anita Bacon, CADC
• Madan Kumar Badal, MD

• Developmentally Disabled Services Day Training Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.