COMMUNITY BRIDGES, INC. (NPI# 1740769637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740769637 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | SMI PERMANENT SUPPORTIVE HOUSING |
| Practice Address |
1520 E Pima St Phoenix AZ 85034-4639 |
| Mailing Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 6024076280 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| 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 | 343900000X | Non-emergency Medical Transport (VAN) | OTC8969 | AZ | Transportation Services |
| Y | 251B00000X | Case Management | OTC8969 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | OTC8969 | 01 |
| Other Name | Type Code |
|---|---|
| SMI Permanent Supportive Housing | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
1520 E PIMA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821431560 | Matt Evans | Family Medicine | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2013-04-11 |
| 1306462247 | Jonathan Manuel Garcia | Social Worker | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2020-06-16 |
| 1114586039 | Lauren Elizabeth Chadwick | Counselor | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2019-06-13 |
| 1427534759 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-07-19 |
| 1821583741 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-06-22 |
| 1326547118 | Kara Gasperone | Marriage & Family Therapist | 1520 E Pima St, Phoenix, AZ 85034-4639 | 2018-02-07 |
| 1164946158 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| 1710401708 | Community Bridges, Inc. | Case Management | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| 1730603739 | Community Bridges, Inc. | Clinic/Center | 1520 E Pima St, Phoenix, AZ 85034 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
| 1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
| 1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
| 1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
| 1275095432 | All About You Behavioral Health Center Inc | Case Management | 2920 N 24th Ave Ste 240, Phoenix, AZ 85015-5960 | 2019-04-04 |
| 1417413949 | Abel's House Inc. | Case Management | 1127 W Peoria Ave, Phoenix, AZ 85029-5984 | 2019-02-20 |
| 1801369632 | 1514 Bethany Home Management, LLC | Case Management | 1514 W Bethany Home Rd, Phoenix, AZ 85015-2504 | 2019-01-03 |
| 1083192215 | Dcc, Inc. Dba Kidney Dialysis Avoidance Program | Case Management | 22601 N 19th Ave Ste 230, Phoenix, AZ 85027-1362 | 2018-07-31 |
| Find all providers in PHOENIX | ||||
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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.