THE BRIDGE TO SUCCESS, LLC


Address: 1609 Prospect Dr, Chesapeake, VA 23322-1734
Phone: 7572705272

THE BRIDGE TO SUCCESS, LLC (NPI# 1376095356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376095356
Entity Type Organization
Organization Name THE BRIDGE TO SUCCESS, LLC
Practice Address 1609 Prospect Dr
Chesapeake
VA 23322-1734
Practice Telephone 7572705272
Mailing Telephone 7572705272
Enumeration Date 2016-10-26
Last Update Date 2016-10-26
Authorized Official Name MS. CANDACE M KNIGHT (OWNER)
Authorized Official Telephone 7572705272
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities VA Residential Treatment Facilities

Office Location

Street Address 1609 PROSPECT DR
City CHESAPEAKE
State VA
Zip Code 23322-1734

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1194100198 Kerry Maldiner Marriage & Family Therapist 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 2015-07-21
1619361532 Kathryn Restaino Student in an Organized Health Care Education/Training Program 705 Forest Mills Rd, Chesapeake, VA 23322 2015-03-28
1083037212 Kenneth E. Grindlay Dentist 228 Mount Pleasant Rd., Chesapeake, VA 23322 2014-01-23
1841538006 Karen Mcquarrie Behavioral Analyst 1200 Jamaica Avenue, Chesapeake, VA 23322 2013-01-23
1255615886 Vera Roberts Jackson Pharmacist 321 Battlefield Blvd. South, Chesapeake, VA 23322 2011-09-30
1669754628 Jacqueline Dungan Pharmacist 201 Hanbury Road E, Chesapeake, VA 23322 2011-09-15
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306335302 Live In Love Community Service LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 70 King George Quay, Chesapeake, VA 23325-4771 2018-05-04
1821502535 New Vision Youth Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1200 Chesapeake Ave, Chesapeake, VA 23324-2304 2017-11-17
1851821243 Gail R Hardyboyd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 200 Research Dr Ste 101, Chesapeake, VA 23320-5988 2017-06-18
1629515929 Care2 Residential Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 732 Eden Way N # 266, Chesapeake, VA 23320-2798 2017-01-24
1053764340 Independent Perspectives Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 452 George Washington Hwy N, Chesapeake, VA 23323-2008 2016-07-21
1689023111 Kd Sons & Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1108 Sir Gawaine Dr, Chesapeake, VA 23323-2835 2016-06-06
1326456179 City of Chesapeake Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1825 Rokeby Ave, Chesapeake, VA 23320-2261 2014-07-24
1558778704 City of Chesapeake Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1829 Rokeby Ave, Chesapeake, VA 23320-2261 2014-07-21
1740601079 Tabb Healthcare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3029 Knight Rd, Chesapeake, VA 23323-2828 2014-01-06
1225399249 F.a.c.e.s. Community Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3624 Mardean Dr, Chesapeake, VA 23321-4476 2012-06-06
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Competitor

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City CHESAPEAKE
Zip Code 23322

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Dataset Information

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.

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