Active NPI
Carebridge Holdings LLC
- Skilled Nursing Facility
- High Point, NC
National Provider Identifier
1467213819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CAREBRIDGE HOLDINGS LLC
- Practice address
- 3830 N Main St
High Point, NC 27265-1126 - Phone
- (336) 907-3030
- NPI assigned
- Jan 22, 2024
- Organization subpart
- Yes
- Parent organization
- CAREBRIDGE HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyisiha Henry
- Title
- Chairman/Ceo
- Phone
- (336) 405-4946
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3830 N Main St
High Point, NC 27265-1126
Mailing address
2127 McKelvey Dr
Greensboro, NC 27406-6446
Phone (336) 405-4046
Other names 1
- Forsyth Senior Estates
National Provider Directory
National Provider Directory- Part of
- Carebridge Holdings LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- High Point, NC
- NPI 1255156840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1467213819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 MCKELVEY DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274066446",
"telephone_number": "336-405-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 N MAIN ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272651126",
"telephone_number": "336-907-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREBRIDGE HOLDINGS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAREBRIDGE HOLDINGS LLC",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "TYISIHA",
"authorized_official_title_or_position": "CHAIRMAN/CEO",
"authorized_official_telephone_number": "336-405-4946"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forsyth Senior Estates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.