Phoenix Bridge Group Homes, Inc.
LBN: Phoenix Bridge Group Homes, Inc.
Phoenix Bridge Group Homes, Inc. is an health care organization with primary practice located at 3309 N Nc Highway 49 # A , Burlington NC 27217-8589. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Case Management is the primary health care specialty.
Phoenix Bridge Group Homes, Inc. can be contacted via phone (336) 578-0540, or through Jones, Wendy Renee via phone (336) 222-8522.
Contact Information
Primary practice address
3309 N Nc Highway 49 # A
Burlington NC 27217-8589
Phone: (336) 578-0540
Fax: (336) 222-8533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL 001-120 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL 001-100 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL 001-121 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL -001 - 135 | North Carolina |
Profile Details
| NPI number | 1669514725 |
|---|---|
| LBN Legal business name | Phoenix Bridge Group Homes, Inc. |
| DBA Doing business as | |
| Authorized official | Jones, Wendy Renee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669514725 | NPPES |
| North Carolina | MEDICAID | 6603578 | |
| North Carolina | MEDICAID | 8301363 | |
| North Carolina | MEDICAID | 6603321 | |
| North Carolina | MEDICAID | 6603357 | |
| North Carolina | MEDICAID | 6603972 |
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