BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.


Address: 1219 Cambridge Ave, Gastonia, NC 28054-1528
Phone: 7048644623

BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC. (NPI# 1417149311) 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) 1417149311
Entity Type Organization
Organization Name BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.
Practice Address 1219 Cambridge Ave
Gastonia
NC 28054-1528
Mailing Address Po Box 3707
Gastonia
NC 28054-0020
Practice Telephone 7048644623
Practice Fax Number 7048643331
Mailing Telephone 7048644623
Mailing Fax Number 7048643331
Enumeration Date 2007-08-14
Last Update Date 2008-01-24
Authorized Official Name MR. VERNON TYRONNE GRIER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7048644623
Authorized Official Credential B.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness MHS-036-219 NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 6604145 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235430265 Bridgebuilders Family & Youth Services Inc. Social Worker 2025 Ebenezer Rd Ste G2, Rock Hill, SC 29732-1078 2010-11-08
1245553809 Bridgebuilders Family & Youth Services Inc. Community/Behavioral Health 5500 Executive Center Dr., Suite 103, Charlotte, NC 28212-8856 2010-03-10
1750573655 Bridgebuilders Family & Youth Services Inc. Community/Behavioral Health 1908 Brevard Rd, Arden, NC 28704-8467 2007-08-14
1881828093 Bridgebuilders Family & Youth Services Inc. Community/Behavioral Health 5500 Executive Center Dr, Charlotte, NC 28212-8856 2009-05-04
1699909804 Bridgebuilders Family & Youth Services Inc. Community/Behavioral Health 5500 Executive Center Dr, Charlotte, NC 28212-8856 2009-05-04
1154555365 Bridgebuilders Family & Youth Services Inc. Community/Behavioral Health 5500 Executive Center Dr, Suite 103, Charlotte, NC 28212-8856 2009-05-04

Office Location

Street Address 1219 CAMBRIDGE AVE
City GASTONIA
State NC
Zip Code 28054-1528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671423 Michaela Karsyn Morris Behavioral Analyst 2875 Court Dr. B, Gastonia, NC 28054 2019-10-21
1982263810 Brenda Sue Fox Occupational Therapist Brian Center, 969 Cox Rd, Gastonia, NC 28054 2019-06-13
1174096911 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 469 Hospital Drive, Suite B1, Gastonia, NC 28054 2019-01-04
1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
1427549807 Alterman & Dhillon Charlotte Metro, Pplc Dentist 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 2018-05-22
1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
1861995367 Jefferson and Jefferson LLC. Respite Care 945 East 6 Ave, Gastonia, NC 28054 2018-03-12
1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
1457732596 Buffie Baker Eller Counselor 2005 Flint Lane, Gastonia, NC 28054 2015-06-15
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245837061 Bliss Haven Group LLC Community Based Residential Treatment Facility, Mental Illness 2442 Sandhurst Ct, Gastonia, NC 28054-2738 2020-10-05
1801409859 Destiny & Miracle LLC Community Based Residential Treatment Facility, Mental Illness 1024 Houston St, Gastonia, NC 28052-1632 2020-08-28
1306381801 A Better Concept Community Based Residential Treatment Facility, Mental Illness 3019 Fallswood Dr, Gastonia, NC 28052-6054 2016-12-20
1861943474 Rockhouse Mental Health Care Agency LLC Community Based Residential Treatment Facility, Mental Illness 1518 Belmar Dr, Gastonia, NC 28052-5103 2016-10-18
1326474008 Melange Health Solutions, LLC Community Based Residential Treatment Facility, Mental Illness 1818 West Fifth Avenue, Gastonia, NC 28054 2013-09-25
1285983528 Alternative Community Penalties Program, Inc. Community Based Residential Treatment Facility, Mental Illness 400 East Fifth Avenue, Gastonia, NC 28054 2012-08-31
1144510850 Miracle Houses, Inc. Community Based Residential Treatment Facility, Mental Illness 2004 Twin Ave, Gastonia, NC 28052-1369 2011-04-14
1164658597 Innovative Compliance Solutions Community Based Residential Treatment Facility, Mental Illness 4912 Duncan Ln, Gastonia, NC 28056-9361 2009-05-29
1093838237 Footprints Carolina Inc Community Based Residential Treatment Facility, Mental Illness 970 Roberts Dr, Gastonia, NC 28054-5804 2007-04-10
1336282862 Assured Resource Environment Community Based Residential Treatment Facility, Mental Illness 1816 Middle St, Gastonia, NC 28052-7626 2007-02-15
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Competitor

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City GASTONIA
Zip Code 28054

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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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