COMMUNITY BRIDGES, INC. (NPI# 1124518204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124518204 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | MESA HERITAGE CLINIC |
| Practice Address |
460 N Mesa Dr Mesa AZ 85201-5973 |
| Mailing Address |
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 |
| Practice Telephone | 5550480838 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | JOHN HOGEBOOM (DEPUTY CEO) |
| Authorized Official Telephone | 4808317566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OTC8918 | AZ | Ambulatory Health Care Facilities |
| N | 291U00000X | Clinical Medical Laboratory | OTC8918 | AZ | Laboratories |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
OTC8918 | AZ | Ambulatory Health Care Facilities |
| Y | 251B00000X | Case Management | OTC8918 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | OTC8918 | 01 |
| Other Name | Type Code |
|---|---|
| Mesa Heritage Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417439936 | Community Bridges, Inc. | Clinical Medical Laboratory | 250 S Toole Ave Ste 110, Tucson, AZ 85701-1814 | 2018-08-31 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
| 1831678721 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1972099836 | Community Bridges, Inc. | Nursing Care | 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 | 2018-07-03 |
| 1285127043 | Community Bridges, Inc. | Clinical Medical Laboratory | 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205 | 2018-06-07 |
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1184136400 | Community Bridges, Inc. | Psychiatric Residential Treatment Facility | 824 N 99th Ave Ste 105, Avondale, AZ 85323-5327 | 2017-10-26 |
| 1568986560 | Community Bridges, Inc. | Case Management | 824 N 99th Ave Ste 108, Avondale, AZ 85323-5327 | 2017-08-01 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1205115631 | Community Bridges, Inc. | Community/Behavioral Health | 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 | 2011-08-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY BRIDGES, INC. | 720 County St., New Bedford, MA 02740 |
| System for Award Management (SAM) Entities | COMMUNITY BRIDGES, INCORPORATED | 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751 |
| Street Address |
460 N MESA DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-5973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093937021 | Encourage Empowerment | Counselor | 460 N Mesa Dr, Suite 207, Mesa, AZ 85201-5973 | 2007-05-02 |
| 1578025250 | Genoa Healthcare, LLC | Pharmacy | 460 N Mesa Dr, Unit 201, Suite 201p, Mesa, AZ 85201-5957 | 2019-04-02 |
| 1144790031 | Tharp Enterprises, L.L.C. | Counselor | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-12-04 |
| 1548741812 | Ana Williams | Nurse Practitioner | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-08-24 |
| 1437691292 | Brandon Healy | Nurse Practitioner | 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 | 2016-11-10 |
| 1073938684 | Empact Suicide Prevention Center | Community/Behavioral Health | 460 N Mesa Dr, Suite 115, Mesa, AZ 85201-5973 | 2014-02-19 |
| 1538497912 | Southwest Network | Case Management | 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1457859894 | Smart Health Solutions LLC | Case Management | 7413 E Northridge Cir, Mesa, AZ 85207-2090 | 2018-01-31 |
| 1659662468 | Community Bridges, Inc | Case Management | 358 E Javelina Ave, Mesa, AZ 85210-6207 | 2011-04-27 |
| 1922304310 | Community Bridges, Inc | Case Management | 1012 S Stapley Dr, Bldg 5, Mesa, AZ 85204-4270 | 2011-02-01 |
| 1639356918 | Community Bridges, Inc | Case Management | 554-1 S. Bellview, Mesa, AZ 85204 | 2008-01-29 |
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1851425920 | American Health Group | Case Management | 2152 S Vineyard Ste 103, Mesa, AZ 85210-6881 | 2007-03-14 |
| 1033114442 | Tlgs Network LLC | Case Management | 1855 W Baseline Rd, Ste 260, Mesa, AZ 85202-9004 | 2005-06-14 |
| 1851830301 | Beech Medical Group, Inc. | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2017-02-16 |
| 1760933154 | Community Bridges, Inc. | Case Management | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2016-10-20 |
| Find all providers in MESA | ||||
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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.