BRIDGING THE GAP SERVICES LLC


Address: 2551 Nw 47th St, Miami, FL 33142-4655
Phone: 7863688183

BRIDGING THE GAP SERVICES LLC (NPI# 1861907115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861907115
Entity Type Organization
Organization Name BRIDGING THE GAP SERVICES LLC
Practice Address 2551 Nw 47th St
Miami
FL 33142-4655
Mailing Address 550 Nw 214th St Apt 104
Miami
FL 33169-2177
Practice Telephone 7863688183
Mailing Telephone 7863688183
Enumeration Date 2017-12-08
Last Update Date 2018-06-20
Authorized Official Name DESHAWN SMITH (OWNER)
Authorized Official Telephone 7863688183
Authorized Official Credential GROUP HOME PROVI
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
11-1248-GH FL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548826233 Bridging The Gap Services LLC Substance Abuse Rehabilitation Facility 5506 Windsor Dr, Temple Hills, MD 20748-4052 2019-05-17

Office Location

Street Address 2551 NW 47TH ST
City MIAMI
State FL
Zip Code 33142-4655

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1477070910 Marcellas Holmes Behavior Technician 2500 Nw 59th St Apt B, Miami, FL 33142 2017-08-25
1992228605 Mobility Medical Transport, Inc Non-emergency Medical Transport (VAN) 3590 Nw 49 St, Miami, FL 33142 2017-07-25
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1467992594 Lissainet Diaz Sarduy Behavior Technician 2992 Nw 49 St, Miami, FL 33142 2017-03-08
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1770958811 Ray Miami Medical Center Corp General Practice 3900 Nw 36 St, 594, Miami, FL 33142 2015-12-01
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1063048601 Lema Care Corp Clinic/Center 14150 Sw 84th St, Miami, FL 33183-4496 2020-03-16
1629603394 Gardens Group Home Corp Clinic/Center 14502 Sw 18th St, Miami, FL 33175-7074 2020-03-03
1275166100 Gallego Adult Home, Inc. Clinic/Center 12820 Sw 74th St, Miami, FL 33183-3410 2020-02-19
1841820636 Kenya Scott Clinic/Center 1798 Nw 76th St, Miami, FL 33147-6150 2020-01-21
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Competitor

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City MIAMI
Zip Code 33142

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Dataset Information

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.

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