COMMUNITY BRIDGES, INC.


Address: 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205
Phone: 4805073180

COMMUNITY BRIDGES, INC. (NPI# 1285127043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285127043
Entity Type Organization
Organization Name COMMUNITY BRIDGES, INC.
Other Organization Name CPEC CRISIS
Practice Address 358 E Javelina Ave Ste 101
Mesa
AZ 85210-6205
Mailing Address 1855 W Baseline Rd Ste 101
Mesa
AZ 85202-9098
Practice Telephone 4805073180
Mailing Telephone 4808317566
Mailing Fax Number 4807752457
Enumeration Date 2018-06-07
Last Update Date 2018-06-07
Authorized Official Name JOHN HOGEBOOM (DEPUTY CEO)
Authorized Official Telephone 4808317566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 291U00000X Clinical Medical Laboratory OTC6023 AZ Laboratories
N 343900000X Non-emergency Medical Transport (VAN) OTC6023 AZ Transportation Services
Y 251J00000X Nursing Care OTC6023 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ 221736 05

Other Provider/Organization Names

Other Name Type Code
CPEC Crisis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417439936 Community Bridges, Inc. Clinical Medical Laboratory 250 S Toole Ave Ste 110, Tucson, AZ 85701-1814 2018-08-31
1346722196 Community Bridges, Inc. Clinic/Center 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 2018-08-29
1831678721 Community Bridges, Inc. Nursing Care 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 2018-08-10
1972099836 Community Bridges, Inc. Nursing Care 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 2018-07-03
1861984205 Community Bridges, Inc. Case Management 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 2018-06-01
1184136400 Community Bridges, Inc. Psychiatric Residential Treatment Facility 824 N 99th Ave Ste 105, Avondale, AZ 85323-5327 2017-10-26
1568986560 Community Bridges, Inc. Case Management 824 N 99th Ave Ste 108, Avondale, AZ 85323-5327 2017-08-01
1922559624 Community Bridges, Inc. Community/Behavioral Health 1125 W Jackson St, Phoenix, AZ 85007 2016-10-18
1205115631 Community Bridges, Inc. Community/Behavioral Health 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 2011-08-16
1003102120 Community Bridges, Inc. Clinical Medical Laboratory 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122-2023 2011-06-27

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations COMMUNITY BRIDGES, INC. 720 County St., New Bedford, MA 02740
System for Award Management (SAM) Entities COMMUNITY BRIDGES, INCORPORATED 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751

Office Location

Street Address 358 E JAVELINA AVE STE 101
City MESA
State AZ
Zip Code 85210-6205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093347981 Valentine Mukahirwa Busogi Nurse Practitioner 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205 2020-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497382501 Mesa Center for Family Medicine Internal Medicine 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 2020-03-26
1780177121 Jessica Cannata Speech-Language Pathologist 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 2018-06-11
1831680305 Alexandra Katherine Ebong Nurse Practitioner 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 2018-05-21
1548762719 Russell D. Meldrum, M.d. Pllc Orthopaedic Surgery 855 W. Southern Ave., #1114, Mesa, AZ 85210 2018-03-05
1023510435 Denise M Bruno-krupp Counselor 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 2018-03-01
1609374529 Gene R Lullo Social Worker 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 2018-01-25
1295264000 Ashley P Smith Naturopath 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 2017-06-06
1386184059 Brittany Johnson Counselor 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 2017-03-01
1487190880 Mesa Valley Modern Dentistry, LLP Dentist 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 2017-01-10
1821544529 Sandra Coren Licensed Practical Nurse 32 S Mcdonald, Tlc, Mesa, AZ 85210 2016-09-01
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154529469 Hi-tech Home Care, Inc. Nursing Care 4840 E Downing Cir, Mesa, AZ 85205-6449 2007-07-07
1134240328 Community Bridges, Inc. Nursing Care 560 S Bellview, Mesa, AZ 85204-2504 2007-04-03
1083916969 Medipro Medical Staffing LLC Nursing Care 2651 W Guadalupe Rd, Mesa, AZ 85202-7249 2010-11-25
1699937136 Legacy Nursing Focus, Inc. Nursing Care 2543 W Madero Ave, Mesa, AZ 85202-6903 2008-06-26
1356461727 Community Bridges, Inc. Nursing Care 554 S Bellview, Mesa, AZ 85204-2504 2007-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508488974 Total Energy Workers Healthcare Nursing Care 2990 E Northern Ave Ste E100, Phoenix, AZ 85028-4841 2020-05-08
1790325934 Tng Healthcare, LLC Nursing Care 4802 E Ray Rd Ste 23-586, Phoenix, AZ 85044-6405 2020-01-15
1831678721 Community Bridges, Inc. Nursing Care 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 2018-08-10
1922585769 Enliven Specialty Nursing of Texas, LLC Nursing Care 700 N Estrella Pkwy Ste 235, Goodyear, AZ 85338-9332 2018-07-24
1972099836 Community Bridges, Inc. Nursing Care 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 2018-07-03
1700321650 Ann Marie D'onofrio Nursing Care 2623 W Wayne Ln, Anthem, AZ 85086-4915 2017-01-02
1295283265 Kai Varela Nursing Care 3330 W Hopi Pl, Benson, AZ 85602-7638 2016-09-19
1568810570 Baldwin Care LLC Nursing Care 2066 E Buena Vista Dr, Chandler, AZ 85249-4602 2016-05-31
1952761561 Caring Four Generations, LLC Nursing Care 5028 N 39th Ave, Phoenix, AZ 85019-2508 2016-02-25
1790141281 Gracious Haven Healthcare LLC Nursing Care 3843 E Presidio Rd, Tucson, AZ 85716-1736 2016-01-13
Find all providers with the same taxonomy

Competitor

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City MESA
Zip Code 85210

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Dataset Information

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.

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