Bridgers Family Care Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL009018 Issued in NC

Legal business name

BRIDGERS FAMILY CARE HOME, INC

Practice address

19 Poe Elkins Rd
Clarkton, NC 28433-7245

Phone

(910) 645-4042

Fax

(910) 645-6259

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Betty L Bridgers

Title

Administrator

Phone

(910) 645-4042

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992907331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 POE ELKINS RD",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284337245",
            "telephone_number": "910-645-4042",
            "fax_number": "910-645-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 POE ELKINS RD",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284337245",
            "telephone_number": "910-645-4042",
            "fax_number": "910-645-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGERS FAMILY CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDGERS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-645-4042"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL009018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803603",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assisted Greatness
• Sharon G. Baxley, FNP
• Lisa Benjamin
• Bladen Healthcare LLC
• Bladen Medical Associates
• Stephen Burney Bridgers, MD
• Cape Fear Manor
• Clarkton Drug Inc.
• Clarkton Health Center PA
• Clarkton Rescue Squad

• Assisted Living Facility in Clarkton, NC
• Providers in Clarkton, 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.