Bridging the Gap Family Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL022002 Issued in NC

Legal business name

BRIDGING THE GAP FAMILY CARE HOME, INC.

Practice address

56 W Vineyard LN
Hayesville, NC 28904-5603

Phone

(828) 389-8350

Fax

(828) 389-9064

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tarena Davenport

Title

Office Manager

Phone

(828) 389-8350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790814697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W VINEYARD LN",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289045603",
            "telephone_number": "828-389-8350",
            "fax_number": "828-389-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W VINEYARD LN",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289045603",
            "telephone_number": "828-389-8350",
            "fax_number": "828-389-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP FAMILY CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "TARENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-389-8350"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL022002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Young Baldwin, MA LPC
• Amanda Leigh Berry, RN
• Elizabeth Fox Bigham, LPC, LCAS
• Stephen M Bolyard
• Denis Gustave Bourguignon, DMD
• Bridging the Gap in Home Aide Service, Inc.
• Diana Elizabeth Brown, RPH
• Ronald Lawrence Bruder, LCSW
• Cardinal Systems Group, Inc.
• Elizabeth Kathleen Carmichael, MSN, FNP

• Assisted Living Facility in Hayesville, NC
• Providers in Hayesville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.