BRIDGEWELL RESIDENTIAL SERVICES, LLC – NPI #1396692448
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

BRIDGEWELL RESIDENTIAL SERVICES, LLC is a residential treatment facility located in GOLDSBORO, NC. NPPES recently assigned the NPI number 1396692448 to BRIDGEWELL RESIDENTIAL SERVICES, LLC on March 16, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGEWELL RESIDENTIAL SERVICES, LLC below.

NPI Profile for
BRIDGEWELL RESIDENTIAL SERVICES, LLC

NPI Number
1396692448
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIDGEWELL RESIDENTIAL SERVICES, LLC
Primary location
2801 MCLAIN ST.
GOLDSBORO, NC 27534
Phone: (919) 394-6718 Fax: (919) 288-1276
Mailing address
112 TIBURON CT
GOLDSBORO, NC 27534-7085
Phone: (919) 394-6718 Fax: (919) 288-1276
Organization Subpart
No
Authorized Official
CANDRA EDWARDS
OWNER, CLINICAL DIRECTOR
Phone: (910) 990-1190
Updated
Certification Date
Mar 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.