Organization Active NPI

Bridgefort Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1972693372
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BRIDGEFORT INC
Practice address
15562 Hemlock St
Detroit, MI 48235-3843
Phone
(313) 837-3552
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Theresa Brown, MSW
Title
Director
Phone
(313) 303-2779

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MI
Mental Illness Community Based Residential Treatment Facility 320800000X MI Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MI

Addresses

Primary practice location

15562 Hemlock St
Detroit, MI 48235-3843

Mailing address

PO Box 760328
Lathrup Village, MI 48076-0328
Phone (313) 837-3552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972693372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760328",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480760328",
            "telephone_number": "313-837-3552",
            "fax_number": "248-569-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15562 HEMLOCK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353843",
            "telephone_number": "313-837-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEFORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-303-2779",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.