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General NPI Number Information
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NPI Number | 1467213819
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Entity Type | Organization
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Legal Business Name | CAREBRIDGE HOLDINGS LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 3830 N MAIN ST
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City | HIGH POINT
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State | NC
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Zip | 27265-1126
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Country | US
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Telephone | 336-907-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 2127 MCKELVEY DR
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City | GREENSBORO
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State | NC
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Zip | 27406-6446
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Country | US
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Telephone | 336-405-4046
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN/CEO
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Name | TYISIHA HENRY
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Credential |
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Telephone | 336-405-4946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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