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PHOENIX BRIDGE COMMUNITY SUPPORT
NPI 1508045998
Residential Treatment Facility, Emotionally Disturbed Children in Burlington, NC

Active since November 01, 2007
814 BRADLEY ST, BURLINGTON, NC 27215(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.

About Phoenix Bridge Community Support NPPES

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

PHOENIX BRIDGE COMMUNITY SUPPORT (NPI 1508045998) 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

NPI1508045998
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePHOENIX BRIDGE COMMUNITY SUPPORT
Location Address814 BRADLEY STBurlington, NC 27215-6806
Mailing Address909 A South Main StreetBurlington, NC 27215-5756 · (336) 222-8522 · Fax (336) 222-8533
Phone(336) 222-8522
Fax(336) 222-8533
Organization SubpartYesParent: Phoenix Bridge Group Home, Inc.
Authorized OfficialWendy Renee JonesProgram Director · (336) 222-8522
Enumeration DateNovember 1, 2007
✔ NPI 1508045998 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-001-121
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.
814 BRADLEY ST, Burlington, NC 27215
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Other Identifiers 1

Medicaid6603578NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAMANCE HOMES
Community Based Residential Treatment Facility, Mental Illness
814 BRADLEY ST
BURLINGTON, NC 27215
Alamance County (336) 266-7073

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 Support's NPI number?

The NPI number for Phoenix Bridge Community Support is 1508045998. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is Phoenix Bridge Community Support located?

Phoenix Bridge Community Support is located at 814 Bradley St, Burlington, NC 27215. The listed phone number is (336) 222-8522.

What is Phoenix Bridge Community Support'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 Support 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.