BRIDGE OF HOPE BEHAVIORAL HEALTH LLC. (NPI# 1700362191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700362191 |
| Entity Type | Organization |
| Organization Name | BRIDGE OF HOPE BEHAVIORAL HEALTH LLC. |
| Practice Address |
410 River Glider Ave North Las Vegas NV 89084-1221 |
| Practice Telephone | 6785156507 |
| Mailing Telephone | 6785156507 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | DIMONTE EVANS (OWNER) |
| Authorized Official Telephone | 6785156507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NV-20181511294 | NV | Residential Treatment Facilities |
| Street Address |
410 RIVER GLIDER AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416619 | Harmony Family Health LLC. | Community Based Residential Treatment Facility, Mental Illness | 410 River Glider Ave, North Las Vegas, NV 89084-1221 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416619 | Harmony Family Health LLC. | Community Based Residential Treatment Facility, Mental Illness | 410 River Glider Ave, North Las Vegas, NV 89084-1221 | 2018-02-08 |
| 1922526730 | Evans Health Services LLC | Community Based Residential Treatment Facility, Mental Illness | 4124 Greenbridge St, North Las Vegas, NV 89032-6126 | 2017-08-31 |
| 1891220786 | Passport To Independence LLC | Community Based Residential Treatment Facility, Mental Illness | 580 W Cheyenne Ave Ste 40, North Las Vegas, NV 89030-3978 | 2017-04-27 |
| 1235677477 | 1love Wellness Society, LLC | Community Based Residential Treatment Facility, Mental Illness | 6719 Sugarbird Ct, North Las Vegas, NV 89084-2227 | 2017-02-08 |
| 1992247266 | Hallway 2 A Heart | Community Based Residential Treatment Facility, Mental Illness | 1313 Misty View Court, North Las Vegas, NV 89031-1059 | 2016-11-17 |
| 1003366097 | Limitless Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 2405 Parasail Point Ave, North Las Vegas, NV 89031-0968 | 2016-10-13 |
| 1144773391 | In Karing Arms Inc | Community Based Residential Treatment Facility, Mental Illness | 3052 Balcones Fault Ave, North Las Vegas, NV 89081-6409 | 2016-07-24 |
| 1992273213 | Lashannon R Lewis | Community Based Residential Treatment Facility, Mental Illness | 1633 Fontana Cliffs Ct, North Las Vegas, NV 89084-2028 | 2018-11-05 |
| 1902308638 | Life Changes Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 6300 Mccarran St, North Las Vegas, NV 89081-8135 | 2018-03-08 |
| 1598204604 | Levada House | Community Based Residential Treatment Facility, Mental Illness | 3365 W Craig Rd, Ste # 9, North Las Vegas, NV 89032-5112 | 2017-02-22 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
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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.