FREEDOM BRIDGE TO RECOVERY LLC (NPI# 1194295089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194295089 |
Entity Type | Organization |
Organization Name | FREEDOM BRIDGE TO RECOVERY LLC |
Practice Address |
1307 Magnolia St Bowling Green KY 42104-3050 |
Practice Telephone | 2707919943 |
Practice Fax Number | 2709042377 |
Mailing Telephone | 2707919943 |
Mailing Fax Number | 2709042377 |
Enumeration Date | 2018-12-04 |
Last Update Date | 2018-12-13 |
Authorized Official Name | STACEY DENISE HENDERSHOT (ADMINISTRATOR) |
Authorized Official Telephone | 2707919943 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 1194295089 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1117 Kentucky St, Bowling Green, KY 421012605 | 2707919943 |
Street Address |
1307 MAGNOLIA ST |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-3050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457750986 | Dba James R Toney | Substance Abuse Rehabilitation Facility | 185 Peachtree Ln, Bowling Green, KY 42103-7007 | 2014-08-20 |
1225443005 | Bernard Mitchell Plumlee IIi | Substance Abuse Rehabilitation Facility | 1569 Virginia Dr, Bowling Green, KY 42101-2768 | 2014-06-30 |
1366724486 | Epca, Inc | Substance Abuse Rehabilitation Facility | 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 | 2011-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392841 | Westcare Kentucky Inc | Substance Abuse Rehabilitation Facility | 5971 Poor Bottom Road, Elkhorn City, KY 41522 | 2020-10-02 |
1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
1962037010 | New Horizons LLC | Substance Abuse Rehabilitation Facility | 308 W Dixie Ave, Elizabethtown, KY 42701-1700 | 2020-03-10 |
1164054284 | Neartown Inc | Substance Abuse Rehabilitation Facility | 1250 Old Soldier Creek Rd, Kirksey, KY 42054-9117 | 2020-02-06 |
1174153514 | Redemption Road Recovery | Substance Abuse Rehabilitation Facility | 4222 Highway 830, Gray, KY 40734-4511 | 2020-01-24 |
1477192607 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2221 Central Ave, Ashland, KY 41101-7841 | 2020-01-06 |
1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
1386287837 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 263 Huntsville Quality Rd Ste A, Morgantown, KY 42261-7395 | 2019-10-28 |
1013569755 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 502 N Lackey Ave, Louisa, KY 41230-1206 | 2019-07-12 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42104 |
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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.