OrganizationActive
Building Bridges Group Home, LLC
NPI 1548634900 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Glasgow, VA
Provider details
- NPI number
- 1548634900
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Beverly, Ceo(540) 462-7688
- License
- 2469-01-001 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2469-01-001 (VA)
Residential Treatment Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
716 Fitzlee St
Glasgow, VA 24555-2530
Phone: (540) 258-1098
Street-level locationGet directions
Mailing address
716 Fitzlee St
Glasgow, VA 24555-2530
Registry dates
- Enumerated
- 2015-11-23
- Last updated
- 2015-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.