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CROSSING THE BRIDGE SERVICES LLC NPI 1366099384


NPI Information

NPI: 1366099384
Provider Name: CROSSING THE BRIDGE SERVICES, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
2401 W SOUTHERN AVE LOT 462
TEMPE, AZ
ZIP 85282
Phone: (602) 318-2041
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CROSSING THE BRIDGE SERVICES, LLC is an adult care home custodial care facility in Tempe, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CROSSING THE BRIDGE SERVICES, LLC NPI is 1366099384. The provider is registered as an organization entity type.

The provider's business location address is:

2401 W SOUTHERN AVE LOT 462
TEMPE, AZ
ZIP 85282-342
Phone: (602) 318-2041

The provider's authorized official is Kerri Masengale .
The authorized official title is Owner / Director and has the following contact phone number (602) 693-3109.

The enumeration date for this NPI number is 8/23/2019 and was last updated on 8/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251E00000XHome HealthNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4373H00000XDay Training/Habilitation SpecialistNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
6235Z00000XSpeech-Language PathologistNo
7225100000XPhysical TherapistNo
8225X00000XOccupational TherapistNo
9311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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