Restored Bridges LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RESTORED BRIDGES LLC

Practice address

718 Madison St
Lincolnton, NC 28092-2448

Phone

(980) 522-8260

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

O'Neil WalkerNPI 1659794626

Title

Ceo

Phone

(980) 613-5304

Specialties & licenses 8

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• O'Neil Orain Walker, LCSWA

  • Clinical Social Worker
  • Salisbury, NC
  • NPI 1659794626
  NPD (past) Authorized official
• Brandi Lynn Stone, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1326416835
  NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1710638648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAWTHORNE LN",
            "address_2": "110 - #312",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "980-522-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 MADISON ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922448",
            "telephone_number": "980-522-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Hawthorne Ln",
            "address_2": "110 - #312",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28204",
            "country_code": "US",
            "telephone_number": "980-522-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Tryon St Ste 1610",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020202",
            "country_code": "US",
            "telephone_number": "704-899-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORED BRIDGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "O'NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-613-5304"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.restoredbridges.com",
            "affiliation": "N",
            "address_1": "525 N Tryon St Ste 1610",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282020202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Robert Reid, MD
• Robert L. Reid Jr., M.D.
• Alden Henry Reine Jr., MD
• Michael Scott Reinhardt Sr., RPH
• Christopher Edward Rejowski, PA
• Devin Latrice Reynolds, CCC-SLP
• Rfdest, DDS PLLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC

• Mental Illness Community Based Residential Treatment Facility in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.