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COMMUNITY BRIDGES INC. NPI 1285127043


NPI Information

NPI: 1285127043
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: CPEC CRISIS

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
358 E JAVELINA AVE STE 101
MESA, AZ
ZIP 85210
Phone: (480) 507-3180
Get Directions

COMMUNITY BRIDGES, INC. is a nursing care in Mesa, 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 1285127043. The provider is registered as an organization entity type.
The provider Is Doing Business As Cpec Crisis.

The provider's business location address is:

358 E JAVELINA AVE STE 101
MESA, AZ
ZIP 85210-205
Phone: (480) 507-3180

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

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


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
1291U00000XClinical Medical LaboratoryOTC6023ARIZONANo
2343900000XNon-emergency Medical Transport (VAN)OTC6023ARIZONANo
3251J00000XNursing CareOTC6023ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1221736MEDICAIDARIZONA

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: 11/14/2023

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