NPIMap

Organization Active NPI

Bridges of Hope Inc

  • Community/Behavioral Health Agency
  • Smithfield, NC
National Provider Identifier
1356766265
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGES OF HOPE INC
Practice address
601 N 8TH St
Suite B
Smithfield, NC 27577-4119
Phone
(252) 360-4142
Fax
(252) 565-0301
NPI assigned
Feb 28, 2014
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Amanda Dorothy Willett
Title
Ceo
Phone
(252) 565-3747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

601 N 8TH St
Suite B
Smithfield, NC 27577-4119

Mailing address

2305 Wellington Dr SW
Wilson, NC 27893-4400
Phone (252) 360-4142

Other identifiers 1

IdentifierTypeStateIssuer
8303078MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Bridges of Hope Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2305 Wellington Dr SW
Wilson, NC 27893
Phone (252) 281-5088

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1356766265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 WELLINGTON DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934400",
            "telephone_number": "252-360-4142",
            "fax_number": "252-565-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 8TH ST",
            "address_2": "SUITE B",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774119",
            "telephone_number": "252-360-4142",
            "fax_number": "252-565-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF HOPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-565-3747"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.