LIFE BRIDGE, LLC (NPI# 1508114786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508114786 |
| Entity Type | Organization |
| Organization Name | LIFE BRIDGE, LLC |
| Practice Address |
1664 Sw 28th St Topeka KS 66611-1673 |
| Practice Telephone | 7858063973 |
| Mailing Telephone | 7858063973 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | MRS. ERICA ELIZABETH KOONTZ (RN/DIRECTOR) |
| Authorized Official Telephone | 7858063973 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 13-109274-012 | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | NPI # 1417227265 | 1417227265 | 01 |
| Street Address |
1664 SW 28TH ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66611-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227265 | Erica Koontz | Registered Nurse | 1664 Sw 28th St, Topeka, KS 66611-1673 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870619 | Diane Delois Taylor | Technician | 3619 Sw Kirklawn Ave, Topeka, KS 66611 | 2019-09-17 |
| 1891189155 | Day-by-day Staff Relief, LLC | Home Health | 2016 Sw 37th St, Suite 100, Topeka, KS 66611 | 2015-03-25 |
| 1740606417 | Kerry Mees | Speech-Language Pathologist | 1205 Sw 29th St., Topeka, KS 66611 | 2014-03-05 |
| 1497052005 | Angela Diane Mcclain | Counselor | 1601 S.w 37th Street, Topeka, KS 66611 | 2011-02-16 |
| 1114230349 | Heather M Prichard | Social Worker | 2906 Sw Medford Ave, Topeka, KS 66611 | 2010-07-16 |
| 1740353101 | Jan C Hendrix Lcpc Lscsw Pa | Social Worker | 2300 Sw 29th Street Suite 222, Topeka, KS 66611 | 2006-11-15 |
| 1366538886 | Charles G Beier | Optometrist | 2400 S.w. 29th St., #136, Topeka, KS 66611 | 2006-10-04 |
| 1427140045 | Renee D Rodgers | Social Worker | 2201 Sw 29th, Topeka, KS 66611 | 2006-09-29 |
| 1295708063 | Colleen Ellis | Social Worker | 2201 Sw 29th St, Topeka, KS 66611 | 2006-02-10 |
| 1053310458 | Dennis D Tietze | Family Medicine | 1101 Sw 29th Street, Topeka, KS 66611 | 2005-07-18 |
| Find all providers in zip 66611 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376033662 | Andre' Collins | Home Health | 1825 Sw Harp Pl, Topeka, KS 66611-2522 | 2018-05-13 |
| 1073032983 | Topeka Hospital, LLC | Home Health | 1501 Sw 6th Ave, Topeka, KS 66606-1624 | 2017-09-12 |
| 1922558519 | E Medical Group of Kansas No. 4, LLC | Home Health | 5375 Sw 7th St Ste 600, Topeka, KS 66606-2553 | 2016-10-07 |
| 1891189155 | Day-by-day Staff Relief, LLC | Home Health | 2016 Sw 37th St, Suite 100, Topeka, KS 66611 | 2015-03-25 |
| 1396142469 | Blassingame Home Care LLC | Home Health | 1835 Nw Topeka Blvd Ste 205, Topeka, KS 66608-1892 | 2014-12-04 |
| 1437560943 | Craig Resources, Inc. | Home Health | 1601 Sw Lane St Ste 100, Topeka, KS 66604-3135 | 2014-05-19 |
| 1407119431 | Flint Hills Health Care Services, Inc. | Home Health | 1251 Sw Arrowhead Rd Ste 103, Topeka, KS 66604-4061 | 2012-06-25 |
| 1730489071 | Peggy Kelly House I | Home Health | 2111 Sw Randolph Ave, Topeka, KS 66611-1547 | 2010-11-02 |
| 1982928164 | Asa New Beginning, Inc. | Home Health | 5339 Sw 22nd Place, Topeka, KS 66614-1500 | 2010-03-17 |
| 1497911523 | Kelly House | Home Health | 1800 Sw Fairmont Rd, Topeka, KS 66604-3699 | 2008-07-29 |
| Find all providers in TOPEKA | ||||
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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.