BRIDGERS FAMILY CARE HOME, INC (NPI# 1992907331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992907331 |
| Entity Type | Organization |
| Organization Name | BRIDGERS FAMILY CARE HOME, INC |
| Practice Address |
19 Poe Elkins Rd Clarkton NC 28433-7245 |
| Practice Telephone | 9106454042 |
| Practice Fax Number | 9106456259 |
| Mailing Telephone | 9106454042 |
| Mailing Fax Number | 9106456259 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETTY L BRIDGERS (ADMINISTRATOR) |
| Authorized Official Telephone | 9106454042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL009018 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803603 | 05 |
| Street Address |
19 POE ELKINS RD |
| City | CLARKTON |
| State | NC |
| Zip Code | 28433-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416496 | Healing Heartsnc | Home Health | 1364 Hwy 211 West, Clarkton, NC 28433 | 2020-10-27 |
| 1699249748 | Steven Jernigan | Nurse Practitioner | 9858 North W. R. Latham Street, Clarkton, NC 28433 | 2019-01-11 |
| 1972866804 | Assisted Greatness | Assisted Living Facility | 53 South Smith St, Clarkton, NC 28433 | 2012-06-15 |
| 1093006959 | Rha Health Services Nc, LLC | Community/Behavioral Health | 88 East Green Street, Clarkton, NC 28433 | 2011-04-27 |
| 1033396155 | Southeastern Regional Medical Center | Clinic/Center | 9928 N. W.r. Lathan Street, Clarkton, NC 28433 | 2008-01-31 |
| 1548381551 | Bladen Medical Associates | Physician Assistant | 88 East Greene Street, Clarkton, NC 28433 | 2007-04-03 |
| 1427114420 | Cape Fear Manor | Custodial Care Facility | 53 S. Smith St., Clarkton, NC 28433 | 2006-12-28 |
| 1265595813 | Family Alternatives | Community/Behavioral Health | 88 E. Green Street, Clarkton, NC 28433 | 2006-12-18 |
| 1497832471 | Community Innovations, Inc. 53 | Intermediate Care Facility, Mentally Retarded | 68 Mitchell Ford Road, Clarkton, NC 28433 | 2006-11-01 |
| 1356427330 | Community Innovations, Inc. 51 | Intermediate Care Facility, Mentally Retarded | 369 Hwy 211 S., Clarkton, NC 28433 | 2006-10-31 |
| Find all providers in zip 28433 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972866804 | Assisted Greatness | Assisted Living Facility | 53 South Smith St, Clarkton, NC 28433 | 2012-06-15 |
| 1043507858 | Liberty Hill Family Care Home Inc | Assisted Living Facility | 1874 Farmers Union Rd, Clarkton, NC 28433-9527 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
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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.