Bright Haven Residential & Community Care, Inc56

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BRIGHT HAVEN RESIDENTIAL & COMMUNITY CARE, INC56

Practice address

3608 Thorndike Dr
Fayetteville, NC 28311-0309

Phone

(910) 630-3758

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Vincent Conrad Evans

Title

President

Phone

(910) 630-3758

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336206887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9338",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119084",
            "telephone_number": "910-630-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 THORNDIKE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110309",
            "telephone_number": "910-630-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HAVEN RESIDENTIAL & COMMUNITY CARE, INC56",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-630-3758"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge to Care Home Care LLC
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• Samantha Lynn Horvath Bridges, DO
• Travis Scott Bridges, CRNA
• Briggs Community Support, Inc
• Bright Heart Healthcare Staffing
• Bionca Jzasmine Bright
• Leslie Samuel Bright Jr., D.D.S.
• Tara Anne Bright, LRT/CTRS
• Brighter Future Home Healthcare

• Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.