COMMUNITY BRIDGES, INC. (NPI# 1760933154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760933154 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | HOLBROOK OUTPATIENT SERVICE CENTER |
| Practice Address |
1855 W Baseline Rd Suite 101 Mesa AZ 85202-9000 |
| Mailing Address |
993 Hermosa Dr Suite A Holbrook AZ 86025-2036 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | ANDREA LOPEZ (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4808317566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 7809 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | OTC7166 | 01 |
| Other Name | Type Code |
|---|---|
| Holbrook Outpatient Service Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417439936 | Community Bridges, Inc. | Clinical Medical Laboratory | 250 S Toole Ave Ste 110, Tucson, AZ 85701-1814 | 2018-08-31 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
| 1831678721 | Community Bridges, Inc. | Nursing Care | 1520 E Pima St Ste 101, Phoenix, AZ 85034-4639 | 2018-08-10 |
| 1972099836 | Community Bridges, Inc. | Nursing Care | 2950 N Dodge Blvd Ste A, Tucson, AZ 85716-2012 | 2018-07-03 |
| 1285127043 | Community Bridges, Inc. | Clinical Medical Laboratory | 358 E Javelina Ave Ste 101, Mesa, AZ 85210-6205 | 2018-06-07 |
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1184136400 | Community Bridges, Inc. | Psychiatric Residential Treatment Facility | 824 N 99th Ave Ste 105, Avondale, AZ 85323-5327 | 2017-10-26 |
| 1568986560 | Community Bridges, Inc. | Case Management | 824 N 99th Ave Ste 108, Avondale, AZ 85323-5327 | 2017-08-01 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1205115631 | Community Bridges, Inc. | Community/Behavioral Health | 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 | 2011-08-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY BRIDGES, INC. | 720 County St., New Bedford, MA 02740 |
| System for Award Management (SAM) Entities | COMMUNITY BRIDGES, INCORPORATED | 8757 Georgia Ave Ste 540, Silver Spring, MD 20910-3751 |
| Street Address |
1855 W BASELINE RD SUITE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114442 | Tlgs Network LLC | Case Management | 1855 W Baseline Rd, Ste 260, Mesa, AZ 85202-9004 | 2005-06-14 |
| 1295370401 | Anthony Wanjohi Kimani | Nurse Practitioner | 1855 W Baseline Rd, Mesa, AZ 85202-9000 | 2019-11-12 |
| 1659839249 | Tinisha Lynn Johnston | Registered Nurse | 1855 W Baseline Rd, Mesa, AZ 85202-9000 | 2019-03-04 |
| 1629516786 | Diana Martorana | Counselor | 1855 W Baseline Rd, Ste 101, Mesa, AZ 85202-9000 | 2017-02-08 |
| 1730631524 | Matthew David King | Counselor | 1855 W Baseline Rd, Ste 101, Mesa, AZ 85202-9000 | 2016-10-27 |
| 1801252200 | Heather Lynn Berger | Counselor | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2016-01-14 |
| 1770833345 | Mary Elizabeth Tinelli | Nurse Practitioner | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2012-09-11 |
| 1508124488 | Community Bridges, Inc. | Community/Behavioral Health | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2012-04-27 |
| 1114296159 | Michelle E North | Nurse Practitioner | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202 | 2011-12-20 |
| 1891789509 | Debra M Gelman | Anesthesiology | 1855 W Baseline Rd, Ste 101, Mesa, AZ 85202-9000 | 2005-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1457859894 | Smart Health Solutions LLC | Case Management | 7413 E Northridge Cir, Mesa, AZ 85207-2090 | 2018-01-31 |
| 1659662468 | Community Bridges, Inc | Case Management | 358 E Javelina Ave, Mesa, AZ 85210-6207 | 2011-04-27 |
| 1922304310 | Community Bridges, Inc | Case Management | 1012 S Stapley Dr, Bldg 5, Mesa, AZ 85204-4270 | 2011-02-01 |
| 1639356918 | Community Bridges, Inc | Case Management | 554-1 S. Bellview, Mesa, AZ 85204 | 2008-01-29 |
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1851425920 | American Health Group | Case Management | 2152 S Vineyard Ste 103, Mesa, AZ 85210-6881 | 2007-03-14 |
| 1033114442 | Tlgs Network LLC | Case Management | 1855 W Baseline Rd, Ste 260, Mesa, AZ 85202-9004 | 2005-06-14 |
| 1851830301 | Beech Medical Group, Inc. | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2017-02-16 |
| 1346678935 | Adobe Care and Wellness LLC | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2013-10-17 |
| Find all providers in MESA | ||||
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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.