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PHOENIX BRIDGE GROUP HOMES INC. NPI 1669514725


NPI Information

NPI: 1669514725
Provider Name: PHOENIX BRIDGE GROUP HOMES, INC.
Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
3309 N NC HIGHWAY 49 # A
BURLINGTON, NC
ZIP 27217
Phone: (336) 578-0540
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PHOENIX BRIDGE GROUP HOMES, INC. is a case management in Burlington, NC. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. PHOENIX BRIDGE GROUP HOMES, INC. NPI is 1669514725. The provider is registered as an organization entity type.

The provider's business location address is:

3309 N NC HIGHWAY 49 # A
BURLINGTON, NC
ZIP 27217-589
Phone: (336) 578-0540
Fax: (336) 222-8533

The provider's authorized official is Wendy Renee Jones .
The authorized official title is Program Manager and has the following contact phone number (336) 222-8522.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.


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
1251B00000XCase ManagementYes
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL 001-120NORTH CAROLINAX
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL 001-100NORTH CAROLINAX
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL 001-121NORTH CAROLINAX
5322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL -001 - 135NORTH CAROLINAX

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
16603357MEDICAIDNORTH CAROLINA
28301363MEDICAIDNORTH CAROLINA
36603578MEDICAIDNORTH CAROLINA
46603972MEDICAIDNORTH CAROLINA
56603321MEDICAIDNORTH CAROLINA

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: 5/5/2024

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