OrganizationBailey'S Innovation GroupCommunity/Behavioral HealthAgenciesPractice Address4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800(919) 438-4060PECOS EnrollmentBased on the most recent information from CMS, provider Bailey'S Innovation Group does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1609347368Provider TypeOrganizationFull NameBailey'S Innovation GroupSubpartNoEnumeration Date12/6/2018Last Updated12/6/2018Contact InformationPractice LocationPractice Address4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800Phone(919) 438-4060FaxUnlisted FaxMailing LocationMailing Address4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800Phone(919) 438-4060FaxUnlisted FaxAuthorized OfficialNameBailey, Sherisse (Owner)Phone(919) 438-4060Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode261QM0801XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer