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BAPTIST CHILDRENS HOMES OF NC INC NPI 1194850180


NPI Information

NPI: 1194850180
Provider Name: BAPTIST CHILDRENS HOMES OF NC INC

Doing Business As: HINKLE HOUSE AT BETHABARA

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2030 CLYDE HAYES DR
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 748-9302
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BAPTIST CHILDRENS HOMES OF NC INC is a residential treatment facility, intellectual and/or developmental disabilities in Winston Salem, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BAPTIST CHILDRENS HOMES OF NC INC NPI is 1194850180. The provider is registered as an organization entity type.
The provider Is Doing Business As Hinkle House At Bethabara.

The provider's business location address is:

2030 CLYDE HAYES DR
WINSTON SALEM, NC
ZIP 27106-251
Phone: (336) 748-9302
Fax: (336) 748-9375

The provider's authorized official is F. Jane Mcmillan .
The authorized official title is Director Developmental Disabilities and has the following contact phone number (336) 474-1272.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL034156NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17804542MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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