Bridging the Gap Preferred Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BRIDGING THE GAP PREFERRED INC

Practice address

504 E 3Rd St
Plymouth, NC 27962-1419

Phone

(252) 793-2209

Fax

(252) 793-2035

NPI assigned

Feb 7, 2007

Last updated

Aug 26, 2008By 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

Leona Garrett Simmons

Title

Owner

Phone

(252) 793-2209

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1063552347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 3RD ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621419",
            "telephone_number": "252-793-2209",
            "fax_number": "252-793-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 3RD ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621419",
            "telephone_number": "252-793-2209",
            "fax_number": "252-793-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP PREFERRED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-793-2209"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418068",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301683",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lerachia Bell, LAB DIRECTOR
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• Kinley B Bowen, COTA/L
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• Grayce Lake Bunch, LCSW-A
• Cah Acquisition Company # 1 (Plymouth Primary Care Rural Health Clinic)
• Cah Acquisition Company 1 LLC (Washington County Hospital)
• Cah Acquisition Company 1 LLC (Washington County Hospital)

• Developmentally Disabled Services Day Training Agency in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.