BRIDGEWAY FAMILY SERVICES LLC (NPI# 1568088391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568088391 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY FAMILY SERVICES LLC |
| Practice Address |
11186 Fort Bowie St Las Vegas NV 89179-1223 |
| Practice Telephone | 7026305965 |
| Mailing Telephone | 7026305965 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | HEIDI GRAY (BUSINESS OWNER) |
| Authorized Official Telephone | 7026305965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
11186 FORT BOWIE ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89179-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427424704 | Dual Diagnosis Services | Counselor | 7004 Geronimo Springs Ave, Las Vegas, NV 89179-1203 | 2015-08-20 |
| 1477035970 | Jobin and Associates LLC | Counselor | 7004 Geronimo Springs Ave, Las Vegas, NV 89179-1203 | 2018-08-30 |
| 1013345438 | Malia Patrocinio | Rehabilitation Practitioner | 11166 Ash Mountain St, Las Vegas, NV 89179-1205 | 2013-10-22 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1821349853 | Gerald Cooper | Rehabilitation Practitioner | 7058 Fort Union Ct, Las Vegas, NV 89179-1206 | 2012-10-01 |
| 1336340942 | Mylynn Cuevas Lim | Physical Therapist | 7127 Los Banderos Ave, Las Vegas, NV 89179-1207 | 2007-05-30 |
| 1407235344 | Christi Cooper | Behavioral Analyst | 6935 Galeria Posada Ave, Las Vegas, NV 89179-1214 | 2015-05-26 |
| 1548625031 | Alanna K Stockford | Physical Therapist | 7112 Indian Head Ave, Las Vegas, NV 89179-1217 | 2015-12-28 |
| 1104217124 | Heaven Tsehaye | Counselor | 7210 La Cadena Ave, Las Vegas, NV 89179-1257 | 2015-02-12 |
| 1699315655 | Latisha Brown | Rehabilitation Counselor | 7263 Blowing Breeze Ave, Las Vegas, NV 89179-1305 | 2020-01-07 |
| Find all providers in zip 89179 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1194340471 | Trac-b Exchange LLC | Community/Behavioral Health | 6114 W Charleston Blvd, Las Vegas, NV 89146-1127 | 2020-06-11 |
| Find all providers in LAS VEGAS | ||||
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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.