BRIDGES HABILITATION SERVICES INC. (NPI# 1740518133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740518133 |
| Entity Type | Organization |
| Organization Name | BRIDGES HABILITATION SERVICES INC. |
| Other Organization Name | BRIDGES |
| Practice Address |
1425 Highway 150 S Ste 2 Evanston WY 82930-5377 |
| Mailing Address |
Po Box 1642 Evanston WY 82931-1642 |
| Practice Telephone | 3077890664 |
| Practice Fax Number | 3077891902 |
| Mailing Telephone | 3077890664 |
| Mailing Fax Number | 3077891902 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MR. DAVID M. CANEN (CEO) |
| Authorized Official Telephone | 3077890664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| Bridges | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245305804 | Bridges Habilitation Services Inc. | Dietitian, Registered | 100 Bear River Dr, Evanston, WY 82930-2804 | 2006-11-21 |
| Street Address |
1425 HIGHWAY 150 S STE 2 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026285 | Dee Dillree | Chiropractor | 1425 Highway 150 S, Ste 2, Evanston, WY 82930-5377 | 2006-03-09 |
| 1588130454 | Tim Floyd | Case Management | 1425 Highway 150 S, Evanston, WY 82930-5377 | 2018-10-18 |
| 1619418514 | Maria Stephen | Case Management | 1425 Highway 150 S, Evanston, WY 82930-5377 | 2017-03-13 |
| 1689051039 | Alyssa Gunn | Case Manager/Care Coordinator | 1425 Highway 150 S, Suite 2, Evanston, WY 82930-5377 | 2015-05-05 |
| 1487993259 | Sydney M. Perate | Case Manager/Care Coordinator | 1425 Highway 150 S, Suite 2, Evanston, WY 82930-5377 | 2013-02-13 |
| 1366770042 | Aileen Canen | Case Manager/Care Coordinator | 1425 Highway 150 S, Ste 2, Evanston, WY 82930-5377 | 2009-11-18 |
| 1952638751 | Heather Aileen Ripley | Case Manager/Care Coordinator | 1425 Highway 150 S, Ste 2, Evanston, WY 82930-5377 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295240067 | Kyle William Mcdermott | Day Training, Developmentally Disabled Services | 100 Valley View Ave, Evanston, WY 82930-2105 | 2017-12-02 |
| 1053786939 | Rimland Services Nfp | Day Training, Developmentally Disabled Services | 1265 Hartrey Ave, Evanston, IL 60202-1056 | 2015-12-03 |
| 1326301896 | Brooke Noell Elardi | Day Training, Developmentally Disabled Services | 1425 State Highway 150 S, Evanston, WY 82930-5377 | 2012-06-20 |
| 1225311400 | Beverly Nelle Taggart | Day Training, Developmentally Disabled Services | 113 Mountain Village Rd, Apt. #j, Evanston, WY 82930-2169 | 2011-09-23 |
| 1033415450 | Kenna J Hill | Day Training, Developmentally Disabled Services | 121 Hunt Ave, Evanston, WY 82930-4909 | 2011-02-02 |
| 1114159746 | Autism Services of The North Shore, Inc. | Day Training, Developmentally Disabled Services | 844 Hinman Ave Apt 1, Evanston, IL 60202-5914 | 2009-08-15 |
| 1679799894 | Innovest Elderly Living, LLC | Day Training, Developmentally Disabled Services | 1949 W Uinta St, Evanston, WY 82930-3229 | 2007-04-17 |
| 1568587988 | Accessible Rehabilitation Management Services, Inc. | Day Training, Developmentally Disabled Services | 62 City View Dr, Evanston, WY 82930-5705 | 2007-03-21 |
| 1154790459 | Katherine Dent | Day Training, Developmentally Disabled Services | 219 7th St, Evanston, WY 82930-3537 | 2015-09-17 |
| 1861884645 | Jay Hill | Day Training, Developmentally Disabled Services | 121 Hunt Ave, Evanston, WY 82930-4909 | 2015-03-03 |
| Find all providers in EVANSTON | ||||
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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.