NPIMap

Organization Active NPI

Beaufort County Developmental Center, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, NC
National Provider Identifier
1639601362
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC.
Practice address
670 Tarboro St
Washington, NC 27889-4153
Phone
(252) 946-0151
Fax
(252) 946-9783
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Elena Gilmore Cameron
Title
Chief Operating Officer
Phone
(252) 946-0151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

670 Tarboro St
Washington, NC 27889-4153

Mailing address

1534 W 5TH St
PO Box 518
Washington, NC 27889-4108
Phone (252) 946-0151

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.

Locations

670 Tarboro St
Washington, NC 27889
Phone (252) 946-0151

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1639601362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 W 5TH ST",
            "address_2": "PO BOX 518",
            "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": "670 TARBORO ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894153",
            "telephone_number": "252-946-0151",
            "fax_number": "252-946-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "GILMORE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "252-946-0151"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 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.