BRIDGING THE GAP RESIDENTIAL SERVICES, LLC (NPI# 1568651602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568651602 |
| Entity Type | Organization |
| Organization Name | BRIDGING THE GAP RESIDENTIAL SERVICES, LLC |
| Practice Address |
2945 S Miami Blvd Suite 114 Durham NC 27703-8024 |
| Practice Telephone | 9196418378 |
| Practice Fax Number | 9199643364 |
| Mailing Telephone | 9196418378 |
| Mailing Fax Number | 9199643364 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | MARSHELIA BENTON (OWNER) |
| Authorized Official Telephone | 9196418378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | MHL-032-451 | NC | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | MHL-032-419 | NC | Nursing & Custodial Care Facilities |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MHL-032-520 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418478 | 05 |
| Street Address |
2945 S MIAMI BLVD SUITE 114 |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982985958 | Jesse Charles Martin | Counselor | 2945 S Miami Blvd, Suite 103, Durham, NC 27703-8024 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| 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 |
|---|---|---|---|---|
| 1598141871 | Comprehensive Community Care | Day Training, Developmentally Disabled Services | 804 Park Ridge Rd, Apt 8a, Durham, NC 27713-9227 | 2015-08-10 |
| 1427334499 | A Small Miracle, Inc. | Day Training, Developmentally Disabled Services | 3500 Westgate Dr Ste 303, Durham, NC 27707-2534 | 2011-10-22 |
| 1871819151 | Mrs Jennie's Place Adult Activity Center Corp | Day Training, Developmentally Disabled Services | 506 Ravenstone Ln, Durham, NC 27703-9621 | 2010-04-12 |
| 1669618765 | Community Resource Connections of North Carolina, LLC | Day Training, Developmentally Disabled Services | 12404 Kendall Ridge Ct, Durham, NC 27703-8542 | 2008-12-21 |
| 1447407325 | Murfin Support Services, LLC | Day Training, Developmentally Disabled Services | 1204 Oval Dr, Durham, NC 27705-3218 | 2008-08-22 |
| 1083861108 | Hidden Treasures of Nc LLC | Day Training, Developmentally Disabled Services | 3215 Guess Rd, Suite 101, Durham, NC 27705-2665 | 2008-08-20 |
| 1336302611 | Youth Extensions Inc. | Day Training, Developmentally Disabled Services | 1915 Chapel Hill Rd Ste A, Durham, NC 27707-1177 | 2008-07-07 |
| 1043470768 | Next Level Adolescent Services, Inc. | Day Training, Developmentally Disabled Services | 1107 Holloway St, Durham, NC 27701-3852 | 2008-06-16 |
| 1831364306 | Life Based Conceptions LLC | Day Training, Developmentally Disabled Services | 1415 W Nc Hwy, Ste 209, Durham, NC 27707-5578 | 2008-04-25 |
| 1992985790 | Wendy's House, Inc. | Day Training, Developmentally Disabled Services | 606 Gattis St, Durham, NC 27701-2832 | 2007-11-08 |
| Find all providers in DURHAM | ||||
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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.