Baptist House At Bethabara in Winston Salem - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Baptist House At Bethabara - NPI 1710022918
Baptist House At Bethabara is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Winston Salem, North Carolina. Baptist House At Bethabara practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Baptist House At Bethabara is 1710022918. The last update date is 2020-08-22.
Baptist House At Bethabara's current location address is 4643 Old Town Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367271973 and fax number 3367271547. The mailing address for Baptist House At Bethabara is 4643 Old Town Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Baptist House At Bethabara |
|---|---|
| Address | 4643 Old Town Dr, Winston Salem, North Carolina |
| Phone Number | 3367271973 |
| Fax Number | 3367271547 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcdowell F. C. |
| Telephone Number | 3364741260 |
NPI Number Detail
| NPI Number | 1710022918 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4643 Old Town Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271062616 |
| Phone Number | 3367271973 |
| Fax Number | 3367271547 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | FCA034057 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804105 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Baptist House At Bethabara by the Centers for Medicare & Medicaid Services?
The Baptist House At Bethabara has been issued the NPI (National Provider Identifier) 1710022918, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Baptist House At Bethabara's facilities are situated?
The facilities of Baptist House At Bethabara are physically located at the following address: 4643 Old Town Dr, Winston Salem, NC, 271062616.
What is the Baptist House At Bethabara's specialty and taxonomy code?
The Baptist House At Bethabara's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date was the 1710022918 assigned to Baptist House At Bethabara?
The Baptist House At Bethabara was issued its 1710022918 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Baptist House At Bethabara's information last updated?
The Baptist House At Bethabara's information was last updated on 2020-08-22.