COMMUNITY BRIDGES, INC. (NPI# 1417439936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417439936 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | TOOLE TRANSITION POINT -2 |
| Practice Address |
250 S Toole Ave Ste 110 Tucson AZ 85701-1814 |
| Mailing Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 5203231212 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | JOHN HOGEBOOM (DEPUTY CEO) |
| Authorized Official Telephone | 4808317566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | BH5420 | AZ | Laboratories |
| N | 343900000X | Non-emergency Medical Transport (VAN) | BH5420 | AZ | Transportation Services |
| N | 385H00000X | Respite Care | BH5420 | AZ | Respite Care Facility |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
BH5420 | AZ | Ambulatory Health Care Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | BH5420 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | BH5420 | 01 |
| Other Name | Type Code |
|---|---|
| Toole Transition Point -2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285127043 | Community Bridges, Inc. | Clinical Medical Laboratory | 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205 | 2018-06-07 |
| 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 |
| 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 |
| Street Address |
250 S TOOLE AVE STE 110 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203089 | Marisa Riddle | Registered Nurse | 220 W 6th Street, Tucson, AZ 85701 | 2019-03-12 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1730425455 | Jan Courtney | Counselor | 85 W Franklin, Cope Community Services, Tucson, AZ 85701 | 2012-12-28 |
| 1750641569 | Christine A Widener | Social Worker | 240 N Court Ave, Tucson, AZ 85701 | 2012-05-25 |
| 1336337039 | Gerard Anthony Scarano | Psychologist | 10 E 10th St, Tucson, AZ 85701 | 2007-10-09 |
| 1922166107 | Coyote Task Force | Community/Behavioral Health | 66 E Pennington, Tucson, AZ 85701 | 2006-12-04 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1164510731 | G. Lynn Bonner | Counselor | 325 W. Franklin St., Ste 117, Tucson, AZ 85701 | 2006-10-10 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1356317077 | Linda Kapinos | Nurse Practitioner | 101 South Stone Avenue, Cope Community Services, Inc., Tucson, AZ 85701 | 2006-02-23 |
| Find all providers in zip 85701 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407040553 | Mirasol Inc | Psychiatric Residential Treatment Facility | 1515 E Kleindale Rd, Tucson, AZ 85719-1915 | 2007-08-31 |
| 1669535720 | Mirasol, Inc. | Psychiatric Residential Treatment Facility | 10490 E Escalante Rd, Tucson, AZ 85730-5502 | 2006-12-19 |
| 1720177348 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10845 N. Thornydale Road, Tucson, AZ 85742 | 2006-10-12 |
| 1023119955 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 1441 S. No Le Hace, Tucson, AZ 85745 | 2006-09-25 |
| 1255432183 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10841 N Thornydale Road, Tucson, AZ 85742 | 2006-09-25 |
| 1346706306 | Impact Medical Group | Psychiatric Residential Treatment Facility | 870 W Miracle Mile, Tucson, AZ 85705-3708 | 2019-02-14 |
| 1154866853 | Bethel House | Psychiatric Residential Treatment Facility | 9820 E Paseo San Bernardo, Tucson, AZ 85747-5022 | 2017-01-04 |
| 1518299767 | Sierra Tucson, Inc. | Psychiatric Residential Treatment Facility | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2010-02-12 |
| 1932334877 | Raymond William Novak | Psychiatric Residential Treatment Facility | 10500 E Tanque Verde Rd, Tucson, AZ 85749-8931 | 2009-05-21 |
| 1184814550 | Haven Sendero De Sonora, Inc. | Psychiatric Residential Treatment Facility | 2502 N Dodge Blvd, Suite 160, Tucson, AZ 85716-2671 | 2007-07-31 |
| Find all providers in TUCSON | ||||
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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.