New Bridge Grouphome

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NEW BRIDGE GROUPHOME

Practice address

232 Peninsula Way
Columbia, SC 29229-7395

Phone

(803) 556-2176

Fax

(803) 814-2493

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Yetunde Adeyemi

Title

Administrator

Phone

(803) 556-2176

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1275277022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 PENINSULA WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297395",
            "telephone_number": "803-556-2176",
            "fax_number": "803-814-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PENINSULA WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297395",
            "telephone_number": "803-556-2176",
            "fax_number": "803-814-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGE GROUPHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-556-2176"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.