Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COUNTRY CLUB 2 IDD, LLC
NPI 1699698514
Day Training, Developmentally Disabled Services in Randleman, NC

Q: What is Country Club 2 Idd, LLC's NPI number?

The NPI number for Country Club 2 Idd, LLC is 1699698514. It was assigned to this organization in the NPPES registry on July 30, 2026.

Q: What is Country Club 2 Idd, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since July 30, 2026

1339 COLTRANE MILL RD, RANDLEMAN, NC 27317(336) 312-2101(336) 674-1692 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Jul 30, 2026 (2 updates tracked since 2026).

On this page

About Country Club 2 Idd, Llc NPPES

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

COUNTRY CLUB 2 IDD, LLC (NPI 1699698514) is a healthcare organization registered as a day training, developmentally disabled services in Randleman, North Carolina and active in the NPI registry since July 2026. The organization lists Pearlie Bullock, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699698514

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameCOUNTRY CLUB 2 IDD, LLC

Location Address1339 COLTRANE MILL RDRandleman, NC 27317-8020

Mailing Address1339 Coltrane Mill RdRandleman, NC 27317-8020 · (336) 312-2101 · Fax (336) 674-1692

Phone(336) 312-2101

Fax(336) 674-1692

Organization SubpartNo

Authorized OfficialPearlie BullockAdministrator · (336) 312-2101

Enumeration DateJuly 30, 2026

Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1699698514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

1339 COLTRANE MILL RD, Randleman, NC 27317

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEARLIE BULLOCK

Day Training, Developmentally Disabled Services

1339 COLTRANE MILL RD
RANDLEMAN, NC 27317

Randolph County (336) 312-2101

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 Country Club 2 Idd, LLC's NPI number?

The NPI number for Country Club 2 Idd, LLC is 1699698514. It was assigned to this organization in the NPPES registry on July 30, 2026.

Where is Country Club 2 Idd, LLC located?

Country Club 2 Idd, LLC is located at 1339 Coltrane Mill Rd, Randleman, NC 27317. The listed phone number is (336) 312-2101.

What is Country Club 2 Idd, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Country Club 2 Idd, LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.