NPIMap

Organization Active NPI

Beaufort County Developmental Center, Inc

Doing business as Beaufort County Group Home #1

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Washington, NC
National Provider Identifier
1235269267
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL007026 Issued in NC
Legal business name
BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC
Doing business as
Beaufort County Group Home #1
Practice address
1534 W 5TH St
Washington, NC 27889-4108
Phone
(252) 946-0151
Fax
(252) 946-9783
NPI assigned
Mar 7, 2007
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Mrs. Elena Gilmore Cameron
Title
Coo
Phone
(252) 946-0151

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MHL007026 NC
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL007026 NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL007026 NC

Addresses

Primary practice location

1534 W 5TH St
Washington, NC 27889-4108

Mailing address

P.O. Box 518
1534 West 5TH Street
Washington, NC 27889-4108
Phone (252) 946-0151

Other names 1

  • Beaufort County Group Home #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaufort County Developmental Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1235269267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 518",
            "address_2": "1534 WEST 5TH STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894108",
            "telephone_number": "252-946-0151",
            "fax_number": "252-946-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 W 5TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894108",
            "telephone_number": "252-946-0151",
            "fax_number": "252-946-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "GILMORE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "252-946-0151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL007026",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL007026",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL007026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaufort County Group Home #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.