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B.A.C.'S PLACE
NPI 1689710006
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Charlotte, NC

Active since January 30, 2007
9709 AVENSONG CROSSING DR, CHARLOTTE, NC 28215(704) 532-1071 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About B.a.c.'s Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

B.A.C.'S PLACE (NPI 1689710006) is a healthcare organization registered as a respite care, intellectual and/or developmental disabilities in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Betty Ann Clark, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689710006
Entity TypeOrganization
Primary Taxonomy385HR2060X
Legal Business NameBETTY ANN CLARK
Location Address9709 AVENSONG CROSSING DRCharlotte, NC 28215-8078
Mailing Address9709 Avensong Crossing DrCharlotte, NC 28215-8078 · (704) 532-1071
Phone(704) 532-1071
Organization SubpartNo
Authorized OfficialBetty Ann ClarkExecutive Director · 70453231071
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689710006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
License✔ Licensed in NC · 60001581
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
9709 AVENSONG CROSSING DR, Charlotte, NC 28215
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Other Names 1

Doing Business AsB.a.c.'s Place

Other Identifiers 1

Medicaid3409246NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Ann Clark's NPI number?

The NPI number for Betty Ann Clark is 1689710006. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as B.A.C.'s Place.

Where is Betty Ann Clark located?

Betty Ann Clark is located at 9709 Avensong Crossing Dr, Charlotte, NC 28215. The listed phone number is (704) 532-1071.

What is Betty Ann Clark's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Betty Ann Clark was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.