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

Phone

(336) 323-0066

Fax

(336) 545-4473

NPI assigned

Sep 4, 2017

Organization subpart

No

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

Authorized official

Name

Willette Carrinton

Title

Asst Director

Phone

(336) 545-4473

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504483200000",
    "number": "1447778071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 PENTON PL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27455",
            "telephone_number": "336-545-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 COLISEUM BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-323-0066",
            "fax_number": "336-545-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAC DEVELOPMENTAL PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-04",
        "last_updated": "2017-09-04",
        "status": "A",
        "authorized_official_last_name": "CARRINTON",
        "authorized_official_first_name": "WILLETTE",
        "authorized_official_title_or_position": "ASST DIRECTOR",
        "authorized_official_telephone_number": "336-545-4473"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 4, 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.