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BRIDGEWELL RESIDENTIAL SERVICES, LLC
NPI 1396692448
Residential Treatment Facility, Emotionally Disturbed Children in Goldsboro, NC

Active since March 16, 2026
2801 MCLAIN ST., GOLDSBORO, NC 27534(919) 394-6718(919) 288-1276 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgewell Residential Services, Llc NPPES

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

BRIDGEWELL RESIDENTIAL SERVICES, LLC (NPI 1396692448), doing business as Bridgewell Residential Services, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Goldsboro, North Carolina and active in the NPI registry since March 2026. The organization lists Candra Nikita Edwards, Owner, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1396692448
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBRIDGEWELL RESIDENTIAL SERVICES, LLC
Location Address2801 MCLAIN ST.Goldsboro, NC 27534
Mailing Address112 Tiburon CtGoldsboro, NC 27534-7085 · (919) 394-6718 · Fax (919) 288-1276
Phone(919) 394-6718
Fax(919) 288-1276
Organization SubpartNo
Authorized OfficialCandra Nikita EdwardsOwner, Clinical Director · (910) 990-1190
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1396692448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
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.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
2801 MCLAIN ST., Goldsboro, NC 27534
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Other Names 1

Doing Business AsBridgewell Residential Services

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 Bridgewell Residential Services, LLC's NPI number?

The NPI number for Bridgewell Residential Services, LLC is 1396692448. It was assigned to this organization in the NPPES registry on March 16, 2026. The provider is doing business as BridgeWell Residential Services.

Where is Bridgewell Residential Services, LLC located?

Bridgewell Residential Services, LLC is located at 2801 Mclain St., Goldsboro, NC 27534. The listed phone number is (919) 394-6718.

What is Bridgewell Residential Services, LLC'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 Bridgewell Residential Services, LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.