Organization Active NPI

Bridgewood Inc.

  • Respite Care
  • Winston Salem, NC
National Provider Identifier
1922545300
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
BRIDGEWOOD INC.
Practice address
8011 N Point Blvd
Suite 102
Winston Salem, NC 27106-3879
Phone
(336) 727-3592
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Mrs. Kesha SpauldingNPI 1487364873
Title
Director
Phone
(336) 493-2094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

8011 N Point Blvd
Suite 102
Winston Salem, NC 27106-3879

Mailing address

8011 N Point Blvd
Suite 102
Winston Salem, NC 27106-3879
Phone (336) 727-3592

Other identifiers 1

IdentifierTypeStateIssuer
261QM0801XMedicaidNC

National Provider Directory

National Provider Directory

Locations

8011 N Point Blvd
Ste 102
Winston Salem, NC 27106
Phone (336) 727-3592

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1922545300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 N POINT BLVD",
            "address_2": "SUITE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063879",
            "telephone_number": "336-727-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 N POINT BLVD",
            "address_2": "SUITE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063879",
            "telephone_number": "336-727-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWOOD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-493-2094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QM0801X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.