Bridging The Gap Residential Services, Llc

LBN: Bridging The Gap Residential Services, Llc
Bridging The Gap Residential Services, Llc is an health care organization with primary practice located at 2945 S Miami Blvd Suite 114, Durham NC 27703-8024. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Assisted Living Facility. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Bridging The Gap Residential Services, Llc can be contacted via phone (919) 641-8378, or through Benton, Marshelia via phone (919) 641-8378.

Contact Information

Primary practice address
2945 S Miami Blvd Suite 114 Durham NC 27703-8024
Phone: (919) 641-8378
Fax: (919) 964-3364
Website:
Map and Directions
Authorized official contact:
Name: Benton, Marshelia
Phone: (919) 641-8378

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X MHL-032-520 North Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X MHL-032-451 North Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X MHL-032-419 North Carolina

Profile Details

NPI number 1568651602
LBN Legal business name Bridging The Gap Residential Services, Llc
DBA Doing business as
Authorized official Benton, Marshelia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Apr 14th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568651602 NPPES
North Carolina MEDICAID 3418478

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