COMMUNITY BRIDGES (NPI# 1437213725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437213725 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES |
| Other Organization Name | ARIZONA BRIDGE TO RECOVERY |
| Practice Address |
554 S Bellview Mesa AZ 85204-2504 |
| Mailing Address |
1811 S Alma School Rd Ste 160 Mesa AZ 85210-3001 |
| Practice Telephone | 8669101141 |
| Practice Fax Number | 4806490959 |
| Mailing Telephone | 4808317566 |
| Mailing Fax Number | 4809627671 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-08-15 |
| Authorized Official Name | MR. JOHN F HOGEBOOM (VP OF CLINICAL OPERATIONS) |
| Authorized Official Telephone | 4808317566 |
| Authorized Official Credential | LISAC |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY BRIDGES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
BH2849 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Arizona Bridge to Recovery | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962564328 | Community Bridges | Case Management | 70 Pembroke Rd, Concord, NH 03301-5753 | 2006-12-14 |
| 1922597483 | Community Bridges | Community/Behavioral Health | 519 Main St, Corralitos, CA 95076-4356 | 2018-05-09 |
| 1043656101 | Community Bridges | Clinic/Center | 100 Pioneer St Ste C, Santa Cruz, CA 95060-2181 | 2013-05-16 |
| 1700098969 | Community Bridges | Clinic/Center | 519 Main St, Watsonville, CA 95076-4356 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY BRIDGES FOUNDATION | 229 Ne Beacon Drive, Grants Pass, OR 97526 |
| System for Award Management (SAM) Entities | COMMUNITY BRIDGES INC. | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202-9098 |
| Washington State Corporations | COMMUNITY BRIDGES NORTHWEST | 19217 36th Ave W Ste 213, Lynnwood, WA 98036 |
| 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 |
554 S BELLVIEW |
| City | MESA |
| State | AZ |
| Zip Code | 85204-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568728707 | Community Bridges, Inc | Clinical Medical Laboratory | 554 S Bellview, Mesa, AZ 85204-2504 | 2012-04-02 |
| 1174820757 | Elizabeth Athens | Counselor | 554 S Bellview, Mesa, AZ 85204-2504 | 2011-02-17 |
| 1639476138 | Wilma Joy Meiner | Counselor | 554 S Bellview, Mesa, AZ 85204-2504 | 2011-02-17 |
| 1508092578 | Community Bridges, Inc | Community/Behavioral Health | 554 S Bellview, Mesa, AZ 85204-2504 | 2009-06-04 |
| 1205077112 | Vera Ellen Suppo | Registered Nurse | 554 S Bellview, Mesa, AZ 85204-2504 | 2009-03-23 |
| 1124269998 | Caron C Grant-ellis | Registered Nurse | 554 S Bellview, Mesa, AZ 85204-2504 | 2009-03-09 |
| 1356461727 | Community Bridges, Inc. | Nursing Care | 554 S Bellview, Mesa, AZ 85204-2504 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940864 | Light House Group Home LLC | Clinic/Center | 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 | 2020-04-13 |
| 1871128520 | Summit Bhc Mesa LLC | Clinic/Center | 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 | 2020-03-03 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1437617958 | Choice Recovery Center, LLC | Clinic/Center | 2222 S Dobson Rd Ste 1002, Mesa, AZ 85202-6200 | 2019-03-04 |
| 1851740898 | Evolution Way | Clinic/Center | 724 W University Dr, Suite 103, Mesa, AZ 85201-5649 | 2016-06-10 |
| 1518923168 | Curtis Walling, Phd PC | Clinic/Center | 3660 E University Dr, Mesa, AZ 85205-6960 | 2006-04-24 |
| 1841752581 | Crossroads, Inc. Red Mountain | Clinic/Center | 143 S Center St, Mesa, AZ 85210-1307 | 2019-04-02 |
| 1598235665 | Phoenix Addiction Recovery LLC | Clinic/Center | 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 | 2018-11-30 |
| 1144670951 | Soba Mesa LLC | Clinic/Center | 6262 E Broadway Rd, Mesa, AZ 85206-6101 | 2016-06-13 |
| 1861853756 | Archways Recovery Centers, LLC | Clinic/Center | 2222 S Dobson Rd, Suite 1002, Mesa, AZ 85202-6481 | 2016-03-18 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on COMMUNITY BRIDGES.
| 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.