Organization Active NPI

Stone Bride Community Partners, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1831703040
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STONE BRIDE COMMUNITY PARTNERS, LLC
Practice address
9625 David Taylor Dr Ste 109
Charlotte, NC 28262-2362
Phone
(704) 659-3759
Fax
(980) 301-9766
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Mrs. Syreeta Watkins Reaves, MSN, RN, NPD-BCNPI 1629681002
Title
Chief Executive Officer
Phone
(910) 352-2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

9625 David Taylor Dr Ste 109
Charlotte, NC 28262-2362

Mailing address

10926 David Taylor Dr Ste 120
Charlotte, NC 28262-0039
Phone (704) 659-3753

Other identifiers 1

IdentifierTypeStateIssuer
1831703040MedicaidNC

Other names 1

  • StoneBridge Home Care Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310000824 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9234524208 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

9625 David Taylor Dr
Ste 109
Charlotte, NC 28262

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1831703040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620039",
            "telephone_number": "704-659-3753",
            "fax_number": "980-301-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR STE 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-659-3759",
            "fax_number": "980-301-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BRIDE COMMUNITY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_middle_name": "WATKINS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-352-2023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN, NPD-BC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831703040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.

Verify at the official NPI Registry.