NPIMap

Organization Active NPI

Baptist Children's Homes of North Carolina, Inc.

Doing business as Mills Home

  • Community/Behavioral Health Agency
  • Thomasville, NC
National Provider Identifier
1902946411
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
B00076 Issued in NC
Legal business name
BAPTIST CHILDREN'S HOMES OF NORTH CAROLINA, INC.
Doing business as
Mills Home
Practice address
515 Watson Ave
Thomasville, NC 27360-4540
Phone
(336) 474-1200
Fax
(336) 472-4110
NPI assigned
Feb 7, 2007
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Mr. Samuel V. Barefoot
Title
Treasurer Cfo
Phone
(336) 474-1224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X B00076 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X B00076 NC
Community/Behavioral Health Agency 251S00000X B00076 NC Primary

Addresses

Primary practice location

515 Watson Ave
Thomasville, NC 27360-4540

Mailing address

204 Idol St
P. O Box 338
Thomasville, NC 27360-4514
Phone (336) 474-1276

Other identifiers 1

IdentifierTypeStateIssuer
6005634MedicaidNC

Other names 1

  • Mills Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Children's Homes of North Carolina18 organizations share this tax ID, including this one

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1902946411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 IDOL ST",
            "address_2": "P. O BOX 338",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604514",
            "telephone_number": "336-474-1276",
            "fax_number": "336-472-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WATSON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604540",
            "telephone_number": "336-474-1200",
            "fax_number": "336-472-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CHILDREN'S HOMES OF NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "BAREFOOT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "TREASURER CFO",
        "authorized_official_telephone_number": "336-474-1224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "B00076",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "B00076",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "B00076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005634",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.