Country Club 2 Idd, LLC
NPI 1699698514ActiveOrganization· Day Training, Developmentally Disabled Services· Randleman, NC
Day Training, Developmentally Disabled Services in Randleman, North Carolina, registered in NPPES in July 2026. The authorized official on file is Pearlie Bullock, Administrator.
Overview
| NPI | 1699698514 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2026 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Day Training, Developmentally Disabled Services Primary | 251C00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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