BAC DEVELOPMENTAL PROGRAM INC (NPI# 1093215972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093215972 |
| Entity Type | Organization |
| Organization Name | BAC DEVELOPMENTAL PROGRAM INC |
| Practice Address |
2203 Coliseum Blvd Greensboro NC 27403-3214 |
| Mailing Address |
Po Box 16844 Greensboro NC 27416-0844 |
| Practice Telephone | 3363230066 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | WILLETTE LASHONDA CARRINGTON (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 3363230066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1083127997 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403-3214 | 2017-11-14 |
| Street Address |
2203 COLISEUM BLVD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1083127997 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403-3214 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| 1619246717 | Occumed Walk In & Urgent Care, Pllc | Internal Medicine | 530 N. Elam Avenue, Suite C, Greensboro, NC 27403 | 2011-12-19 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699897504 | After Gateway Inc. | Clinic/Center | 501 S Mendenhall St, Greensboro, NC 27403-2514 | 2007-04-04 |
| 1134253875 | A Place for T.j. Health Care Inc. | Clinic/Center | 5001 Heathridge Ter, Greensboro, NC 27410-8419 | 2007-03-15 |
| 1669547030 | Advantage Bhs | Clinic/Center | 1030 Silver Rd, Greensboro, GA 30642-2157 | 2006-11-21 |
| 1568686988 | State of Nc Division of Health Services | Clinic/Center | 122 N Elm St, Suite 400, Greensboro, NC 27401-2842 | 2007-04-13 |
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|---|---|---|---|---|
| 1578174355 | A Better You Wellness Center | Clinic/Center | 3103 Durant Rd, Greenville, NC 27834-6786 | 2020-08-13 |
| 1770118556 | Enable LLC | Clinic/Center | 4050 Legion Rd, Hope Mills, NC 28348-8872 | 2020-03-11 |
| 1083128508 | Almarch Family Care, LLC | Clinic/Center | 1924 Beverly Rd, Rocky Mount, NC 27801-6313 | 2017-11-20 |
| 1669995577 | L.a.s Learning Playhouse, LLC | Clinic/Center | 210 Craver Ave, Salisbury, NC 28146-5906 | 2017-07-23 |
| 1528314408 | Laura Maria Mckoy | Clinic/Center | 122 Live Oak Drive, Jacksonville, NC 28540 | 2012-07-30 |
| 1306123294 | Lane's House Adult Group Home | Clinic/Center | 3159 Octavia Dr, Rocky Mount, NC 27804-7959 | 2011-11-07 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1235388133 | Eaglemere Living Facility | Clinic/Center | 200 Eagles Mere Trl, Rocky Mount, NC 27804-8850 | 2008-09-16 |
| 1043468796 | Making It Happen, Inc. | Clinic/Center | 355 Ransom Rd, Winston Salem, NC 27106-3835 | 2008-09-07 |
| 1689841298 | Safe Harbour | Clinic/Center | 13 East Dr, Jacksonville, NC 28546-8214 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on BAC DEVELOPMENTAL PROGRAM INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.