RESTORED BRIDGES LLC NPI 1710638648

NPI Information

NPI: 1710638648
Provider Name: RESTORED BRIDGES LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
718 MADISON ST
LINCOLNTON, NC
ZIP 28092
Phone: (980) 522-8260
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RESTORED BRIDGES LLC is a community based residential treatment facility mental illness in Lincolnton, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. RESTORED BRIDGES LLC NPI is 1710638648. The provider is registered as an organization entity type.

The provider's business location address is:

718 MADISON ST
LINCOLNTON, NC
ZIP 28092-448
Phone: (980) 522-8260

The provider's authorized official is O'neil Walker .
The authorized official title is Ceo and has the following contact phone number (980) 613-5304.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 7/31/2023.

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	Primary
1	177F00000X	Lodging	No
2	251S00000X	Community/Behavioral Health	No
3	253Z00000X	In Home Supportive Care	No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
6	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	No
7	324500000X	Substance Abuse Rehabilitation Facility	No
8	320800000X	Community Based Residential Treatment Facility, Mental Illness	Yes

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

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