BRIDGE TO INDEPENDENT LIVING, LLC. (NPI# 1003205261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003205261 |
| Entity Type | Organization |
| Organization Name | BRIDGE TO INDEPENDENT LIVING, LLC. |
| Practice Address |
5004 2nd St Nw Apt 1 Washington DC 20011-4170 |
| Mailing Address |
5000 2nd St Nw Apt 3 Washington DC 20011-4171 |
| Practice Telephone | 2317404625 |
| Mailing Telephone | 2028826444 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MRS. MICHELLE ANTOINETTE CAVINESS (PRESIDENT/CEO) |
| Authorized Official Telephone | 2028826444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
5004 2ND ST NW APT 1 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-4170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395275 | The Verlyn Group Dc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1341 H St Ne Ste 201, Washington, DC 20002-4406 | 2020-08-09 |
| 1689113722 | Surpassing The Average Rehabilitation Services (stars) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 914 47th St Ne, Washington, DC 20019-3722 | 2017-02-22 |
| 1598152787 | Valentine Community Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 617 Raleigh Pl Se, Washington, DC 20032-4221 | 2015-04-25 |
| 1083035125 | Capitol Hill Supportive Services Program Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2052 W Virginia Ave Ne, Washington, DC 20002-1832 | 2013-12-16 |
| 1558605733 | Mind & Reason Advocacy Group, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2806 Pomeroy Rd Se, 2808 Pomeroy Rd Se, Washington, DC 20020-5912 | 2012-11-12 |
| 1457610586 | Vcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8112 Eastern Ave Nw, Washington, DC 20012-1312 | 2012-05-09 |
| 1174896260 | Prudent Health Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1014 9th St Ne, Washington, DC 20002-3716 | 2012-02-20 |
| 1609157973 | Dc Health Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2833 Georgia Ave Nw, Washington, DC 20001-3862 | 2011-08-31 |
| 1215239389 | Dc Residential Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4356 Varnum Pl Ne, Washington, DC 20017-2101 | 2010-11-23 |
| 1609107333 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 213 Hospital Dr, Washington, GA 30673-5628 | 2010-01-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20011 |
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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.