Phoenix Bridge Group Home

LBN: Phoenix Bridge Group Home
Phoenix Bridge Group Home is an health care organization with primary practice located at 909 A South Main Street , Burlington NC 27215-0169. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Phoenix Bridge Group Home can be contacted via phone (336) 222-8522, or through Jones, Wendy via phone (336) 222-8522.

Contact Information

Primary practice address
909 A South Main Street Burlington NC 27215-0169
Phone: (336) 222-8522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Wendy
Phone: (336) 222-8522

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1588822209
LBN Legal business name Phoenix Bridge Group Home
DBA Doing business as
Authorized official Jones, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 18 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 1588822209 NPPES
North Carolina MEDICAID 8302247

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