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BRIDGE 2 SUCCESS GROUP HOME, INC
NPI 1063282689
Community Based Residential Treatment Facility, Mental Illness in High Point, NC

Active since January 04, 2024
902 KROLL LN, HIGH POINT, NC 27260(336) 307-3845(336) 307-4376 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridge 2 Success Group Home, Inc NPPES

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

BRIDGE 2 SUCCESS GROUP HOME, INC (NPI 1063282689) is a healthcare organization registered as a community based residential treatment facility, mental illness in High Point, North Carolina and active in the NPI registry since January 2024. The organization lists Lekeysha Denise Ayenumelo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063282689
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBRIDGE 2 SUCCESS GROUP HOME, INC
Location Address902 KROLL LNHigh Point, NC 27260-5851
Mailing Address902 Kroll LnHigh Point, NC 27260-5851 · (336) 307-3845 · Fax (336) 307-4376
Phone(336) 307-3845
Fax(336) 307-4376
Organization SubpartNo
Authorized OfficialLekeysha Denise AyenumeloExecutive Director · (336) 307-3845
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1063282689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
902 KROLL LN, High Point, NC 27260
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Other Names 1

Other NameBridge 2 Success Group Home

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 Bridge 2 Success Group Home, Inc's NPI number?

The NPI number for Bridge 2 Success Group Home, Inc is 1063282689. It was assigned to this organization in the NPPES registry on January 4, 2024. The provider is also known as Bridge 2 Success Group Home.

Where is Bridge 2 Success Group Home, Inc located?

Bridge 2 Success Group Home, Inc is located at 902 Kroll Ln, High Point, NC 27260. The listed phone number is (336) 307-3845.

What is Bridge 2 Success Group Home, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Bridge 2 Success Group Home, Inc was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.