FREEDOM BRIDGE TO RECOVERY LLC


Address: 1307 Magnolia St, Bowling Green, KY 42104-3050
Phone: 2707919943

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY 1194295089 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1117 Kentucky St, Bowling Green, KY 421012605 2707919943

Office Location

Street Address 1307 MAGNOLIA ST
City BOWLING GREEN
State KY
Zip Code 42104-3050

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BOWLING GREEN
Zip Code 42104

Improve Information

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Dataset Information

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.

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