BETHEL COMMUNITY DEVELOPMENT CORPORATION (NPI# 1811195951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811195951 |
| Entity Type | Organization |
| Organization Name | BETHEL COMMUNITY DEVELOPMENT CORPORATION |
| Other Organization Name | BETHEL ADULT DAY HEALTH CARE CENTER |
| Practice Address |
1065 Progress St Fayetteville NC 28306-1827 |
| Practice Telephone | 9104848727 |
| Practice Fax Number | 9104867981 |
| Mailing Telephone | 9104848727 |
| Mailing Fax Number | 9104867981 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | MR. TONEY MCCRAY (ADMINISTRATOR) |
| Authorized Official Telephone | 9104848727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
CERTIFICATE | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409003 | 05 |
| Other Name | Type Code |
|---|---|
| Bethel Adult Day Health Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | BETHEL COMMUNITY DEVELOPMENT CORPORATION | 22 EAAST DEPEW AVE , BUFFALO, NEW YORK 14214 |
| North Carolina Corporation | Bethel Community Development Corporation | 1065 Progress Street , Fayetteville, NC 28306 |
| Massachusetts Corporation | BETHEL COMMUNITY DEVELOPMENT CORPORATION | 112 HUMBOLDT AVE. , ROXBURY, MA 02119 |
| Street Address |
1065 PROGRESS ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524483 | Norman Graham | Clinic/Center | 125 Marquis Dr, Fayetteville, GA 30214-1566 | 2019-12-02 |
| 1114106077 | Marion E. Wall | Clinic/Center | 920 Stamper Rd, Fayetteville, NC 28303-4138 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144861337 | The Caswell Family Medical Center, Inc. | Clinic/Center | 649 Firetower Rd, Yanceyville, NC 27379 | 2019-09-30 |
| 1174188676 | Brutonville Concerned Citizens, Inc. | Clinic/Center | 112 Brutonville School Road, Candor, NC 27229-2722 | 2019-05-09 |
| 1558847848 | Golden Horizons Adc | Clinic/Center | 1106 Suite C Hillandale Rd., Durham, NC 27705-2770 | 2018-07-19 |
| 1598257578 | Henosis Managment, LLC | Clinic/Center | 7701 Wallace Ln, Charlotte, NC 28212-6427 | 2018-06-05 |
| 1689161309 | Kimberly White | Clinic/Center | 5023 Brooktree Dr, Charlotte, NC 28208-1616 | 2018-04-18 |
| 1669900973 | Extended Care Network, LLC | Clinic/Center | 3434 Kildaire Farm Rd Ste 129, Cary, NC 27518-2275 | 2017-05-31 |
| 1780124214 | Lonnie's Heart of Hope | Clinic/Center | 122 Harding St, Elizabeth City, NC 27909-3009 | 2017-03-02 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1649714767 | Mountain View Fhc | Clinic/Center | 4874 Rifle Range Rd, Conover, NC 28613-8727 | 2016-12-08 |
| 1801260690 | Caring Hearts, Inc. | Clinic/Center | 1600 W Howard Ave, Suite 38, Tarboro, NC 27886-4198 | 2015-11-17 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
Please comment or provide details below to improve the information on BETHEL COMMUNITY DEVELOPMENT CORPORATION.
| 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.