BRIDGE HAVEN MEMORY CARE, LLC (NPI# 1982070314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982070314 |
| Entity Type | Organization |
| Organization Name | BRIDGE HAVEN MEMORY CARE, LLC |
| Practice Address |
2147 Quail Creek Dr Lawrence KS 66047-2142 |
| Mailing Address |
1126 Hilltop Dr Lawrence KS 66044-4530 |
| Practice Telephone | 7853711106 |
| Mailing Telephone | 7853711106 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | MRS. SARAH A RANDOLPH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7853711106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | B023017 | KS | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275900599 | Bridge Haven Memory Care, LLC | Alzheimer Center (Dementia Center) | 1126 Hilltop Dr, Lawrence, KS 66044-4530 | 2015-08-24 |
| 1487022588 | Bridge Haven Memory Care, LLC | Alzheimer Center (Dementia Center) | 1126 Hilltop Dr, Lawrence, KS 66044-4530 | 2015-09-04 |
| 1750759858 | Bridge Haven Memory Care, LLC | Alzheimer Center (Dementia Center) | 1126 Hilltop Dr, Lawrence, KS 66044-4530 | 2015-09-04 |
| Street Address |
2147 QUAIL CREEK DR |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275900599 | Bridge Haven Memory Care, LLC | Alzheimer Center (Dementia Center) | 1126 Hilltop Dr, Lawrence, KS 66044-4530 | 2015-08-24 |
| 1679878201 | Neuvant House of Lawrence | Alzheimer Center (Dementia Center) | 1216 Biltmore Dr, Lawrence, KS 66049-1995 | 2011-01-12 |
| 1487022588 | Bridge Haven Memory Care, LLC | Alzheimer Center (Dementia Center) | 1126 Hilltop Dr, Lawrence, KS 66044-4530 | 2015-09-04 |
| 1750759858 | Bridge Haven Memory Care, LLC | Alzheimer Center (Dementia Center) | 1126 Hilltop Dr, Lawrence, KS 66044-4530 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244384 | Anthem Wichita Management, LLC | Alzheimer Center (Dementia Center) | 1859 N Webb Rd, Wichita, KS 67206-3413 | 2018-11-25 |
| 1386026029 | Solomon Valley Village | Alzheimer Center (Dementia Center) | 120 N Campbell Ave, Beloit, KS 67420-2426 | 2015-06-18 |
| 1417354234 | Comfortcare Homes of Ottawa, LLC | Alzheimer Center (Dementia Center) | 27 E Rockwood Dr, Ottawa, KS 66067-3721 | 2014-11-21 |
| 1164836540 | Comfortcare Homes of Pittsburg LLC | Alzheimer Center (Dementia Center) | 803 Lakeview Dr, Pittsburg, KS 66762-6149 | 2014-06-13 |
| 1588084990 | Cummins Country Care | Alzheimer Center (Dementia Center) | 303 W Mcclellan Ave, Iuka, KS 67066-9549 | 2014-04-24 |
| 1346587326 | Oxford Derby Memory Care, LLC | Alzheimer Center (Dementia Center) | 1433 N Hamilton Dr, Derby, KS 67037-8919 | 2013-01-10 |
| 1568724821 | Nouba Living & Healthcare, Inc | Alzheimer Center (Dementia Center) | 402 Ash Street, Overbrook, KS 66524 | 2012-06-13 |
| 1558640359 | Overland Park Senior Living | Alzheimer Center (Dementia Center) | 10101 W. 127th Street, Overland Park, KS 66213 | 2011-08-10 |
| 1780979559 | Comfortcare Homes of Baldwin City, LLC | Alzheimer Center (Dementia Center) | 424 Washington, Baldwin City, KS 66006 | 2011-06-09 |
| 1255643698 | Vintage Place | Alzheimer Center (Dementia Center) | 1650 E 12th Ave, El Dorado, KS 67042-4300 | 2010-07-13 |
| Find all providers with the same taxonomy | ||||
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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.