COMMUNITY BRIDGES INC. NPI 1417439936

NPI Information

NPI: 1417439936
Provider Name: COMMUNITY BRIDGES, INC.

Doing Business As: TOOLE TRANSITION POINT -2

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
250 S TOOLE AVE STE 110
TUCSON, AZ
ZIP 85701
Phone: (520) 323-1212
Get Directions

COMMUNITY BRIDGES, INC. is a community based residential treatment facility mental illness in Tucson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMMUNITY BRIDGES, INC. NPI is 1417439936. The provider is registered as an organization entity type.
The provider Is Doing Business As Toole Transition Point -2.

The provider's business location address is:

250 S TOOLE AVE STE 110
TUCSON, AZ
ZIP 85701-814
Phone: (520) 323-1212

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 8/31/2018 and was last updated on 2/15/2023.

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	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management				No
2	261QH0100X	Clinic/Center	Health Service	BH5420	ARIZONA	No
3	291U00000X	Clinical Medical Laboratory		BH5420	ARIZONA	No
4	323P00000X	Psychiatric Residential Treatment Facility		BH5420	ARIZONA	No
5	343900000X	Non-emergency Medical Transport (VAN)		BH5420	ARIZONA	No
6	385H00000X	Respite Care		BH5420	ARIZONA	No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness				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	BH5420	OTHER	ARIZONA	ADHS

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

NPI Synchronization or Removal

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