BRIDGE GROUP INTEGRATED HEALTH CARE SYSTEMS LLC (NPI# 1528560034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528560034 |
| Entity Type | Organization |
| Organization Name | BRIDGE GROUP INTEGRATED HEALTH CARE SYSTEMS LLC |
| Practice Address |
1800 W Broadway Rd Ste 3 Tempe AZ 85282-1023 |
| Practice Telephone | 4807091431 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | ALMA DELIA SALDANA-ESPITIA (BUSINESS MANAGER) |
| Authorized Official Telephone | 4807091431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 00000000 | 01 |
| Street Address |
1800 W BROADWAY RD STE 3 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468273 | Marcus Dickson | Counselor | 1800 W Broadway Rd Ste 3, Tempe, AZ 85282-1023 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326313644 | Sophia Samantha Qendro | Adult Companion | 507 E Westchester Dr, Tempe, AZ 85283-2891 | 2012-03-20 |
| 1285042069 | Cheryl Lovell | Adult Companion | 2111 E Baseline Rd, Suite B-5, Tempe, AZ 85283-1516 | 2014-07-24 |
| 1023383346 | Tempe Tbi Home Care | Adult Companion | 507 E Westchester Dr, Tempe, AZ 85283-2891 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262465 | Charles Ogu | Adult Companion | 6638 S 6th Ave, Phoenix, AZ 85041-5764 | 2020-07-16 |
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1467073684 | Jasmin Zapatero | Adult Companion | 3816 S 74th Dr, Phoenix, AZ 85043-7589 | 2020-04-28 |
| 1932729944 | Tamitha Green | Adult Companion | 3202 W Bell Rd, Phoenix, AZ 85053-7507 | 2020-04-20 |
| 1942851217 | James Loeber | Adult Companion | 2890 Edgewood Dr, Lake Havasu City, AZ 86406-7777 | 2019-09-26 |
| 1265904775 | Denise Turner'coleman | Adult Companion | 7409 S 39th Dr, Phoenix, AZ 85041-6002 | 2018-12-21 |
| 1376013326 | Jimmy Lee Ellis | Adult Companion | 105 N Links Dr Apt 1061, Avondale, AZ 85323-3046 | 2018-12-03 |
| 1912484890 | Trillium Home Care, LLC | Adult Companion | 2345 E Thomas Rd Ste 201, Phoenix, AZ 85016-7818 | 2018-07-24 |
| 1679069025 | Matthew Odishoo | Adult Companion | 2114 S 118th Ave, Avondale, AZ 85323-7643 | 2018-07-09 |
| 1760916647 | Amazing Comfort Home LLC | Adult Companion | 1670 E Carla Vista Dr, Chandler, AZ 85225-5268 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
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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.