BRIDGING THE GAP FAMILY CARE HOME, INC. — NPI 1790814697 (Licensed & Credentialed Assisted Living Facility in HAYESVILLE, NC)

CMS-1500 Box 24J / 33a • NPI

1790814697

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

310400000X

Licensed & Credentialed Assisted Living Facility

Box 32 Service Location & ZIP+4

56 W VINEYARD LN, HAYESVILLE, NC, 28904-5603

✓ 9-Digit EDI 837 ZIP+4 (28904-5603)

Practice Phone & Referral Fax

(828) 389-8350

Fax: (828) 389-9064

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790814697 (BRIDGING THE GAP FAMILY CARE HOME, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790814697` (NPI-2 Organization / Facility)
Provider / Legal Name	BRIDGING THE GAP FAMILY CARE HOME, INC.
Plain-English Specialty	Licensed & Credentialed Assisted Living Facility NUCC Code: `310400000X` (Assisted Living Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	56 W VINEYARD LN, HAYESVILLE, NC, 28904-5603
Practice Telephone / Fax	Tel: (828) 389-8350 \| Fax: (828) 389-9064
Administrative Mailing Address	56 W VINEYARD LN, HAYESVILLE, NC, 28904-5603
Enumeration & Last Sync	Enumerated: 2007-03-05 \| CMS Record Updated: 2020-08-22
Authorized Official	TARENA DAVENPORT (Office Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

56 W VINEYARD LN, HAYESVILLE, NC, 28904-5603

🗺️ Open in Google Maps 🏥 More Providers in HAYESVILLE

🔒 Are you BRIDGING THE GAP FAMILY CARE HOME, INC.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (310400000X)

What Does Taxonomy Code 310400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310400000X translates to:
"Licensed & Credentialed Assisted Living Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Assisted Living Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRIDGING THE GAP FAMILY CARE HOME, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: NC \| License: `FCL022002` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

BRIDGING THE GAP FAMILY CARE HOME, INC. (NPI #1790814697)