YOUTH BRIDGE, INC. (NPI# 1669762431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669762431 |
| Entity Type | Organization |
| Organization Name | YOUTH BRIDGE, INC. |
| Practice Address |
107 E Crandall Ave Harrison AR 72601-3629 |
| Mailing Address |
2153 E Joyce Blvd Fayetteville AR 72703-4714 |
| Practice Telephone | 8707418484 |
| Mailing Telephone | 4795759471 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | KATHY LOTT (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4795759471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699803577 | Youth Bridge, Inc. | Case Management | 4171 N Crossover Rd, Fayetteville, AR 72703-4591 | 2007-03-01 |
| 1891050621 | Youth Bridge, Inc. | Community/Behavioral Health | 3715 N Business Dr, Ste 104, Fayetteville, AR 72703-5204 | 2012-07-09 |
| Street Address |
107 E CRANDALL AVE |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992298996 | Lupita Perez-lopez | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2018-06-13 |
| 1528559051 | Kimberly Lynn Morehead | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2018-05-21 |
| 1437647674 | Michael Kirkham | Behavior Technician | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2018-04-24 |
| 1184131252 | Laurel Nichole Gass | Counselor | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2018-01-10 |
| 1639680630 | Cody Sanders | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2017-10-17 |
| 1710414750 | Emily Madison Sublett | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2017-05-22 |
| 1487001129 | Jodie Meeks | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2016-05-23 |
| 1770930638 | Melissa Ann Dixon | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2016-05-20 |
| 1801250741 | Kandace Steigman | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2016-04-06 |
| 1114307774 | Felicia Johnson | Case Manager/Care Coordinator | 107 E Crandall Ave, Harrison, AR 72601-3629 | 2015-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1760792139 | St.vincent's Hospital Westchester | Case Management | 275 North St, Harrison, NY 10528-1524 | 2010-10-19 |
| 1932355492 | St.vincent's Hospital Mh | Case Management | 275 North St, Harrison, NY 10528-1524 | 2008-08-14 |
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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.