BRIDGEBUILDER COMMUNITY SERVICES (NPI# 1134395411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134395411 |
Entity Type | Organization |
Organization Name | BRIDGEBUILDER COMMUNITY SERVICES |
Practice Address |
4423 Beagle St Orlando FL 32818-8254 |
Practice Telephone | 4076164318 |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |
Authorized Official Name | DWAYNE HORNE (FOUNDER/CEO) |
Authorized Official Telephone | 4076164318 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | CFAR'S CERTIFICATION | 802003528 | 01 |
Street Address |
4423 BEAGLE ST |
City | ORLANDO |
State | FL |
Zip Code | 32818-8254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487995593 | Dwayne Horne | Case Manager/Care Coordinator | 4423 Beagle St, Orlando, FL 32818-8254 | 2013-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285275206 | Shareen Sutherland | Nurse Practitioner | 1896 Lake Hill Circle, Orlando, FL 32818 | 2019-10-01 |
1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
1598283418 | 2 Heart To Heart Group Home, Inc | Homemaker | 6617 Kristin Ct, Orlando, FL 32818 | 2017-08-30 |
1508383159 | Adancia Sainte Ducleron | Behavior Technician | 8315 Snowfire Dr, Orlando, FL 32818 | 2017-08-24 |
1891210910 | Eddie L. Banks Jr. | Counselor | 2724 Silkwood Cir., 927, Orlando, FL 32818 | 2017-08-09 |
1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
1477906782 | Adrain Yvette Lee | Nurse Practitioner | 6388 Silver Star Rd Ste 2b, Orlando, FL 32818 | 2016-07-21 |
1013389659 | Jessica Jocelyn | Speech-Language Pathologist | 6727 Meritmoor Circle, Orlando, FL 32818 | 2015-10-22 |
1104226745 | Emmanuella Delorme | Behavior Technician | 7225 Woodridge Park Dr, 8102, Orlando, FL 32818 | 2014-09-02 |
Find all providers in zip 32818 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083153027 | Rebecca Lynne Montgomery | Voluntary or Charitable | 1722 E Marks St, Orlando, FL 32803-4242 | 2017-02-22 |
1669825527 | Area Agency On Aging of Central Florida, Inc. | Voluntary or Charitable | 988 Woodcock Rd Ste 200, Orlando, FL 32803-3715 | 2016-07-15 |
1073742862 | Mye-dash Consulting, Inc. | Voluntary or Charitable | 425 S Avalon Park Blvd, 1000-153, Orlando, FL 32828-6998 | 2009-07-14 |
1366697138 | Gay, Lesbian, Bisexual Community Center of Central Florida | Voluntary or Charitable | 946 N Mills Ave, Orlando, FL 32803-3230 | 2008-11-20 |
1831122019 | United Cerebral Palsy of Central Florida, Inc. | Voluntary or Charitable | 1221 W Colonial Dr, Suite 300, Orlando, FL 32804-7156 | 2006-07-09 |
1821030149 | The Ripple Effect, Inc. | Voluntary or Charitable | 425 Columbia St, Orlando, FL 32806-1007 | 2006-06-12 |
1538533286 | United Cerebral Palsy | Voluntary or Charitable | 1221 W Colonial Dr, Orlando, FL 32804-7163 | 2015-11-18 |
1275930190 | Charity & Love, Inc | Voluntary or Charitable | 5372 Silver Star Rd, Orlando, FL 32808-4429 | 2014-11-20 |
1356505028 | Beta Center | Voluntary or Charitable | 4680 Lake Underhill Rd, Orlando, FL 32807-1182 | 2008-07-11 |
1548430523 | Ucp of Central Florida | Voluntary or Charitable | 3305 S Orange Ave, Orlando, FL 32806-6125 | 2008-03-06 |
Find all providers in ORLANDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.