PHOENIX BRIDGE COMMUNITY SERVICES
NPI 1033398425
Residential Treatment Facility, Emotionally Disturbed Children in Burlington, NC

Q: What is Phoenix Bridge Community Services's NPI number?

The NPI number for Phoenix Bridge Community Services is 1033398425. It was assigned to this organization in the NPPES registry on November 1, 2007.

Q: What is Phoenix Bridge Community Services's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since November 01, 2007

5450 PATILLO CHURCH RD, BURLINGTON, NC 27217(336) 222-8522(336) 222-8533 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phoenix Bridge Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX BRIDGE COMMUNITY SERVICES (NPI 1033398425) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Burlington, North Carolina and active in the NPI registry since November 2007. The organization lists Wendy Renee Jones, Program Director, as its authorized official.

NPPES Registry Identity

NPI1033398425

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NamePHOENIX BRIDGE COMMUNITY SERVICES

Location Address5450 PATILLO CHURCH RDBurlington, NC 27217-8553

Mailing Address909a South Main StreetBurlington, NC 27215 · (336) 222-8522 · Fax (336) 222-8533

Phone(336) 222-8522

Fax(336) 222-8533

Organization SubpartYesParent: Phoenix Bridge Group Homes, Inc

Authorized OfficialWendy Renee JonesProgram Director · (336) 222-8522

Enumeration DateNovember 1, 2007

✔ NPI 1033398425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in NC · MHL-001-120

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

5450 PATILLO CHURCH RD, Burlington, NC 27217

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Other Identifiers 1

Medicaid6603577NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Bridge Community Services's NPI number?

The NPI number for Phoenix Bridge Community Services is 1033398425. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is Phoenix Bridge Community Services located?

Phoenix Bridge Community Services is located at 5450 Patillo Church Rd, Burlington, NC 27217. The listed phone number is (336) 222-8522.

What is Phoenix Bridge Community Services's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Bridge Community Services was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.