COMMUNITY BRIDGES INC. NPI 1891288049

NPI Information

NPI: 1891288049
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: CCARC CRISIS

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
2770 E VAN BUREN ST
ROOMS A, B, D
PHOENIX, AZ
ZIP 85008
Phone: (602) 273-9999
Get Directions

COMMUNITY BRIDGES, INC. is a nursing care in Phoenix, AZ. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. COMMUNITY BRIDGES, INC. NPI is 1891288049. The provider is registered as an organization entity type.
The provider Is Doing Business As Ccarc Crisis.

The provider's business location address is:

2770 E VAN BUREN ST
ROOMS A, B, D
PHOENIX, AZ
ZIP 85008-088
Phone: (602) 273-9999

The provider's authorized official is John Hogeboom .
The authorized official title is President/ceo and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 6/12/2018 and was last updated on 7/14/2022.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	251B00000X	Case Management			No
2	291U00000X	Clinical Medical Laboratory	213286	ARIZONA	No
3	343900000X	Non-emergency Medical Transport (VAN)	213286	ARIZONA	No
4	251J00000X	Nursing Care	213286	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213286	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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