Building Bridges Outreach LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

BUILDING BRIDGES OUTREACH LLC

Practice address

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252

Phone

(980) 209-4294

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Tiffaney Wilson

Title

Owner

Phone

(202) 486-9837

Specialties & licenses 8

Addresses

Other names 1

• Building Bridges Outreach LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1245833045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST STE 205",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059433",
            "telephone_number": "202-286-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRVIEW RD STE 1200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102252",
            "telephone_number": "980-209-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BRIDGES OUTREACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIFFANEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-486-9837"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Buildingbridges@qualityservice.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6000 Fairview Rd Ste 1200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282102252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Building Bridges Outreach LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Building Bridges Outreach LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Peer Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.