OrganizationActive
Baptist House at Bethabara
NPI 1710022918 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Winston Salem, NC
Provider details
- NPI number
- 1710022918
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- C. Mcdowell, Executive Vice President(336) 474-1260
- License
- FCA034057 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense FCA034057 (NC)
Residential Treatment Facilities
Practice location
4643 Old Town Dr
Winston Salem, NC 27106-2616
Phone: (336) 727-1973
Fax: (336) 727-1547
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 338
Thomasville, NC 27361-0338
Other names (DBA / former)
- Other name
- Baptist Children'S Homes of Nc, Inc.
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.