PHOENIX BRIDGE GROUP HOME (NPI# 1588822209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588822209 |
| Entity Type | Organization |
| Organization Name | PHOENIX BRIDGE GROUP HOME |
| Practice Address |
909 A South Main Street Burlington NC 27215-0169 |
| Practice Telephone | 3362228522 |
| Mailing Telephone | 3362228522 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | WENDY JONES (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3362228522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302247 | 05 |
| Street Address |
909 A SOUTH MAIN STREET |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-0169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721213 | Phoenix Bridge Group Homes | Home Infusion | 909 A South Main Street, Burlington, NC 27215-0169 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568951515 | Mpkg Restoring Families Effectively LLC | Day Training, Developmentally Disabled Services | 236 N Mebane St Ste 107, Burlington, NC 27217-3900 | 2018-05-05 |
| 1750758058 | Yodel Mental Health & Developmental Disabilities | Day Training, Developmentally Disabled Services | 1122 Sunset Rd, Burlington, NJ 08016-2208 | 2015-08-22 |
| 1013393842 | Blackwell's Community Living | Day Training, Developmentally Disabled Services | 2406 Ashton Park Ln, Burlington, NC 27215-6310 | 2015-08-04 |
| 1831571306 | Self-reliance | Day Training, Developmentally Disabled Services | 825 N 6th St Ste 4, Burlington, IA 52601-4920 | 2015-06-22 |
| 1588046122 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 224 High St, Burlington, NJ 08016-4488 | 2015-06-19 |
| 1093197626 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 1109 Columbus Rd, Burlington, NJ 08016-3405 | 2015-06-19 |
| 1285071431 | Oe Enterprises, Incorporated | Day Training, Developmentally Disabled Services | 717 N Park Ave, Burlington, NC 27217-2343 | 2013-05-29 |
| 1710133145 | Bromarhermbritt Center LLC | Day Training, Developmentally Disabled Services | 822 Old Stoney Mountain Rd, Burlington, NC 27217-9676 | 2008-08-18 |
| 1477687986 | Hope Haven Area Development Center Corporation | Day Training, Developmentally Disabled Services | 3711 Lennox Ave, Burlington, IA 52601-2233 | 2007-03-15 |
| 1275672545 | Dynamic Dimensions, Inc | Day Training, Developmentally Disabled Services | 567 18th St, Burlington, CO 80807-1521 | 2007-02-05 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on PHOENIX BRIDGE GROUP HOME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.