FREEDOM BRIDGE TO RECOVERY LLC NPI 1194295089

NPI Information

NPI: 1194295089
Provider Name: FREEDOM BRIDGE TO RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1307 MAGNOLIA ST
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 791-9943
Get Directions

FREEDOM BRIDGE TO RECOVERY LLC is a substance abuse rehabilitation facility in Bowling Green, KY. The provider is 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. FREEDOM BRIDGE TO RECOVERY LLC NPI is 1194295089. The provider is registered as an organization entity type.

The provider's business location address is:

1307 MAGNOLIA ST
BOWLING GREEN, KY
ZIP 42104-050
Phone: (270) 791-9943
Fax: (270) 904-2377

The provider's authorized official is Stacey Denise Hendershot .
The authorized official title is Administrator and has the following contact phone number (270) 791-9943.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1194295089	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »