COMMUNITY BRIDGES, INC


Address: 995 Hermosa Drive, Holbrook, AZ 86025
Phone: 9285241151

COMMUNITY BRIDGES, INC (NPI# 1467695296) 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) 1467695296
Entity Type Organization
Organization Name COMMUNITY BRIDGES, INC
Other Organization Name HOLBROOK STABILIZATION AND RECOVERY UNIT
Practice Address 995 Hermosa Drive
Holbrook
AZ 86025
Mailing Address 1855 W Baseline Rd
Suite 101
Mesa
AZ 85202-9000
Practice Telephone 9285241151
Practice Fax Number 9285241811
Mailing Telephone 4808317566
Mailing Fax Number 4809627671
Enumeration Date 2009-04-09
Last Update Date 2015-02-19
Authorized Official Name MR. JOHN F HOGEBOOM (VP/COO)
Authorized Official Telephone 4808317566
Authorized Official Credential LISAC
Is Organization Subpart Y
Parent Organization Name COMMUNITY BRIDGES, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR1300X Clinic/Center
Specialization: Rural Health
SABH6350 AZ Ambulatory Health Care Facilities
N 291U00000X Clinical Medical Laboratory SABH6350 AZ Laboratories
N 343900000X Non-emergency Medical Transport (VAN) SABH6350 AZ Transportation Services
Y 324500000X Substance Abuse Rehabilitation Facility SABH6350 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 420941 05

Other Provider/Organization Names

Other Name Type Code
Holbrook Stabilization and Recovery Unit Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801402417 Community Bridges, Inc Counselor 720 County St, New Bedford, MA 02740-5405 2020-09-18
1821345752 Community Bridges, Inc Clinical Medical Laboratory 5734 East Hope Lane, Globe, AZ 85501 2012-08-09
1588920714 Community Bridges, Inc Clinical Medical Laboratory 732 W 4th St, Benson, AZ 85602-6435 2012-04-02
1033475264 Community Bridges, Inc Clinical Medical Laboratory 993 Hermosa Dr, Holbrook, AZ 86025-2036 2012-04-02
1699041046 Community Bridges, Inc Clinical Medical Laboratory 554-1 S Bellview, Mesa, AZ 85204-2504 2012-03-30
1548536378 Community Bridges, Inc Clinical Medical Laboratory 1012 S Stapley Dr Ste 117, Bldg 5, Suite 117, Mesa, AZ 85204-4272 2012-03-27
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
1699077321 Community Bridges, Inc Clinic/Center 470 S Ocotillo Ave # 2, Benson, AZ 85602 2010-12-01
1821328113 Community Bridges, Inc Community/Behavioral Health 3250 B East 40th Street, Yuma, AZ 85365 2010-01-08

Other Data Sources

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

Office Location

Street Address 995 HERMOSA DRIVE
City HOLBROOK
State AZ
Zip Code 86025

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548505357 Holbrook Senior Citizens Association Assisted Living Facility 216 Joy Nevin Avenue, Holbrook, AZ 86025 2012-12-05
1053660795 Rainbow Medical Transportation LLC Non-emergency Medical Transport (VAN) 2425 Navajo Boulevard, Holbrook, AZ 86025 2012-09-07
1932381738 Valerie Ann Roanhorse Speech-Language Pathologist 294 West Carlos, Holbrook, AZ 86025 2007-12-04
1336224195 Clarence H Hansen Dentist 407 E Iowa, Holbrook, AZ 86025 2006-10-27
1538266895 Janelle Marie Golden Speech-Language Pathologist 294 W. Carlos, Special Services Consortium, Holbrook, AZ 86025 2006-09-20
1306960422 North Country Healthcare, Inc. Clinic/Center 2109 Navajo Blvd, Holbrook, AZ 86025 2007-03-16
1881760155 Jason D Lyman Dentist 407 E Iowa, Holbrook, AZ 86025 2006-11-28
1932294543 Christina Lynn Say Physical Therapist 294 W. Carlos, Holbrook, AZ 86025 2006-10-03
1306937297 Rainbow Accommodation School Local Education Agency (LEA) 294 W. Carlos, Holbrook, AZ 86025 2006-09-27
1447231667 Mary Ann Henry Physician Assistant 2109 Navajo Blvd, Holbrook, AZ 86025-0000 2005-11-07
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669073920 Tusa Mental Health Services LLC Substance Abuse Rehabilitation Facility 11570 East Cornville Road, Cornville, AZ 86325 2020-11-03
1578170999 Arizona Center for Recovery- A New Direction Substance Abuse Rehabilitation Facility 5331 N Sundown Dr, Tucson, AZ 85718-5515 2020-09-29
1427663947 Summit Bhc Tuscon, LLC Substance Abuse Rehabilitation Facility 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 2020-09-11
1386254027 J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II Substance Abuse Rehabilitation Facility 6613 W. Pershing Avenue, Glendale, AZ 85304 2020-08-07
1932726361 Northstar Homecare LLC Substance Abuse Rehabilitation Facility 5239 S 33rd Dr, Phoenix, AZ 85041-7411 2020-07-01
1891312542 Semper Fidelis Behavioral Health Care, LLC Substance Abuse Rehabilitation Facility 8020 N 17th Dr, Phoenix, AZ 85021-5217 2020-06-29
1558988246 Cmj Recovery Az LLC Substance Abuse Rehabilitation Facility 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 2020-06-29
1780201772 Pinnacle Peak Recovery, LLC Substance Abuse Rehabilitation Facility 8070 E Morgan Trl Ste 125, Scottsdale, AZ 85258-1228 2020-06-25
1629692025 A Home 4 U Transitional Housing Substance Abuse Rehabilitation Facility 18474 E Kingbird Dr, Queen Creek, AZ 85142-5118 2020-06-01
1568085215 Scottsdale Recovery II, LLC Substance Abuse Rehabilitation Facility 10227 N Scottsdale Road, Scottsdale, AZ 85253-8526 2020-05-28
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Competitor

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City HOLBROOK
Zip Code 86025

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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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