Bridge 2 Success Group Home, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BRIDGE 2 SUCCESS GROUP HOME, INC

Practice address

902 Kroll LN
High Point, NC 27260-5851

Phone

(336) 307-3845

Fax

(336) 307-4376

NPI assigned

Jan 4, 2024

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lekeysha Denise AyenumeloNPI 1407343957

Title

Executive Director

Phone

(336) 307-3845

Specialties & licenses 2

Addresses

Other names 1

• Bridge 2 Success Group Home Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lekeysha Ayenumelo

  • Homemaker
  • High Point, NC
  • NPI 1407343957
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1063282689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KROLL LN",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605851",
            "telephone_number": "336-307-3845",
            "fax_number": "336-307-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KROLL LN",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605851",
            "telephone_number": "336-307-3845",
            "fax_number": "336-307-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE 2 SUCCESS GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "AYENUMELO",
        "authorized_official_first_name": "LEKEYSHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-307-3845"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge 2 Success Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Breaking Cycles Counseling PLLC
• Candice Brenneman, M.S., LMFT
• Patricia Ann Brenner, CRNA
• Morgan Brevil, LCMHCA
• Amy Brian, PHARMD, CPP
• Bridge Medical Supply LLC
• Elizabeth G. Bridges, LPC
• Karen N. Bridges, LPA
• Kendra Elaine Bridges
• Kristyn Bridges

• Mental Illness Community Based Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.