Active NPI
Bridges of Hope, Inc.
- Community/Behavioral Health Agency
- Greenville, NC
National Provider Identifier
1568509073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BRIDGES OF HOPE, INC.
- Practice address
- 214 E Arlington Blvd Ste a
Greenville, NC 27858-5023 - Phone
- (252) 321-1621
- Fax
- (252) 321-6002
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda W. Hopkins, B.A., QDDP, QMHP
- Title
- Director, Ceo
- Phone
- (252) 321-1621
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
214 E Arlington Blvd Ste a
Greenville, NC 27858-5023
Mailing address
202 E Arlington Blvd
Ste D
Greenville, NC 27858-5021
Phone (252) 321-1621
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950612 | Medicaid | NC | |
| 6006332 | Medicaid | NC | |
| 8301943 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091104000110 | NC | Part B Supplier - Clinic/Group Practice | 4486792942 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilson, NC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
214 E Arlington Blvd
Ste A
Greenville, NC 27858
Phone (252) 321-1621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1568509073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E ARLINGTON BLVD",
"address_2": "STE D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585021",
"telephone_number": "252-321-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E ARLINGTON BLVD STE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585023",
"telephone_number": "252-321-1621",
"fax_number": "252-321-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES OF HOPE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "DIRECTOR, CEO",
"authorized_official_telephone_number": "252-321-1621",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B.A., QDDP, QMHP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950612",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006332",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301943",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.