COMMUNITY BRIDGES SOUTH, INC. (NPI# 1588790448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588790448 |
Entity Type | Organization |
Organization Name | COMMUNITY BRIDGES SOUTH, INC. |
Other Organization Name | APACHE COMMUNITY RESIDENCE |
Practice Address |
2000 Apache Dr Winnfield LA 71483-3102 |
Mailing Address |
Po Box 715 Ruston LA 71273-0715 |
Practice Telephone | 3182559137 |
Practice Fax Number | 3182558233 |
Mailing Telephone | 3182559137 |
Mailing Fax Number | 3182558233 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MIKE L. REYNOLDS (CEO) |
Authorized Official Telephone | 3182551937 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 612 | LA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1718653 | 05 |
Other Name | Type Code |
---|---|
Apache Community Residence | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477689867 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 150 Trace Dr, Ruston, LA 71270-3449 | 2007-02-27 |
1588790976 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 225 S Maple St, Ruston, LA 71270-4120 | 2007-02-27 |
1386770774 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 155 Woodshire Ln, Ruston, LA 71270-3292 | 2007-02-27 |
1679609069 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 2600 S Vienna St, Ruston, LA 71270-9026 | 2007-02-27 |
1396871786 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 2909 S Vienna St, Ruston, LA 71270-9029 | 2007-02-27 |
1194851584 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 618 Joe Frazier Rd, Winnfield, LA 71483-5029 | 2007-02-27 |
1073649463 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 Campbell Street, Ruston, LA 71270 | 2007-02-27 |
1649306127 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 8804 Hwy 126, Dodson, LA 71422 | 2007-02-26 |
1346376084 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 560 Braswell Lane, Simsboro, LA 71275 | 2007-02-26 |
Street Address |
2000 APACHE DR |
City | WINNFIELD |
State | LA |
Zip Code | 71483-3102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871732487 | Rosalie Cascabel Buraga | Physical Therapist | 915 1st Street, Therapy Dept. Winnfield Nursing and Rehab. Center, Winnfield, LA 71483 | 2009-02-05 |
1568614311 | Winn Association for Retarded Citizens | Day Training, Developmentally Disabled Services | 1006 South Jones St., Winnfield, LA 71483 | 2008-10-10 |
1245402619 | Jerry W Williams Od | Durable Medical Equipment & Medical Supplies | 1605 West Court St, Winnfield, LA 71483 | 2008-03-26 |
1295926418 | Gentle Care Sitting Service | Home Health | 1701 West Court St, Winnfield, LA 71483 | 2007-08-05 |
1427253046 | Winn Association for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 1006 S Jones St, Winnfield, LA 71483 | 2007-06-15 |
1548386162 | Central Management Company, LLC | Skilled Nursing Facility | 9258 Highway 84 West, Winnfield, LA 71483 | 2007-03-22 |
1386796944 | Hope Hospice, Inc | Hospice Care, Community Based | 100 South Magnolia Street, Winnfield, LA 71483 | 2007-01-16 |
1356413025 | Mco of Louisiana Inc | Durable Medical Equipment & Medical Supplies | 430 West South Street, Winnfield, LA 71483 | 2006-11-15 |
1942397666 | Court House Pharmacy | Pharmacy | 104 S Jones St, Winnfield, LA 71483 | 2006-10-06 |
1386746733 | Randolph Layne Williams | Family Medicine | 1405 W Court St, Winnfield, LA 71483 | 2006-09-05 |
Find all providers in zip 71483 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194851584 | Community Bridges South, Inc. | Intermediate Care Facility, Mentally Retarded | 618 Joe Frazier Rd, Winnfield, LA 71483-5029 | 2007-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174136527 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 1901 Huie Dellmon Ave, Boyce, LA 71409-9329 | 2020-08-26 |
1174136535 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 1903 Huie Dellmon Ave, Boyce, LA 71409-9329 | 2020-08-26 |
1427613371 | Lisa Williams | Intermediate Care Facility, Mentally Retarded | 1202 St. Maurice Ave, New Orleans, LA 70117-7011 | 2019-05-07 |
1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
1801260468 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 143 Central Ave, Jefferson, LA 70121-3401 | 2015-11-19 |
1669867545 | Wendover Community Home | Intermediate Care Facility, Mentally Retarded | 4607 Wendover Blvd, Alexandria, LA 71303-2528 | 2015-03-30 |
1538554423 | West Pointe Community Home | Intermediate Care Facility, Mentally Retarded | 6218 W Pointe Blvd, Alexandria, LA 71303-2000 | 2015-03-30 |
1073904389 | Normal Life of Louisiana, Inc. | Intermediate Care Facility, Mentally Retarded | 15460 Tracey Ln, Independence, LA 70443-2470 | 2015-02-09 |
1306276639 | The Arc of Sabine Inc | Intermediate Care Facility, Mentally Retarded | 200 Dockens Dr, Many, LA 71449-3852 | 2013-11-22 |
1326304445 | Cdf Healthcare of La, LLC | Intermediate Care Facility, Mentally Retarded | 596 Midway Church Lane, Delhi, LA 71232 | 2012-04-03 |
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.