NPIMap

Organization Active NPI

Baptist Childrens Homes of NC Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1194850180
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL034156 Issued in NC
Legal business name
BAPTIST CHILDRENS HOMES OF NC INC
Practice address
2030 Clyde Hayes Dr
Winston Salem, NC 27106-6251
Phone
(336) 748-9302
Fax
(336) 748-9375
NPI assigned
Feb 22, 2007
Organization subpart
Yes
Parent organization
BAPTIST CHILDRENS HOMES OF NC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Ms. F. Jane McMillan
Title
Director Developmental Disabilities
Phone
(336) 474-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL034156 NC Primary

Addresses

Primary practice location

2030 Clyde Hayes Dr
Winston Salem, NC 27106-6251

Mailing address

PO Box 338
Thomasville, NC 27361-0338
Phone (336) 474-1272

Other identifiers 1

IdentifierTypeStateIssuer
7804542MedicaidNC

Other names 1

  • Hinkle House at Bethabara Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Childrens Homes of NC Inc18 organizations share this tax ID, including this one
Part of
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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1194850180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273610338",
            "telephone_number": "336-474-1272",
            "fax_number": "336-474-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CLYDE HAYES DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066251",
            "telephone_number": "336-748-9302",
            "fax_number": "336-748-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CHILDRENS HOMES OF NC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST CHILDRENS HOMES OF NC INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR DEVELOPMENTAL DISABILITIES",
        "authorized_official_telephone_number": "336-474-1272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL034156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804542",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinkle House at Bethabara",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.