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:
Map and Directions
Authorized official contact:
Name: Jones, Wendy Renee
Phone: (336) 222-8522

Health care specialties

SpecialtyCodeLicense #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 5 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 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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