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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

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

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: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Club Ii Llc NPPES

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

COUNTRY CLUB II 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 II 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
NPPES CertifiedJuly 30, 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
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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 II LLC's NPI number?

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

Where is Country Club II LLC located?

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

What is Country Club II 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 II LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.