COMMUNITY BRIDGES, INC. (NPI# 1922559624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922559624 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BRIDGES, INC. |
| Other Organization Name | PHOENIX RISE |
| Practice Address |
1125 W Jackson St Phoenix AZ 85007 |
| Mailing Address |
1855 W Baseline Rd Ste. #101 Mesa AZ 85202-9000 |
| Practice Telephone | 4808317566 |
| Mailing Telephone | 4808317566 |
| Mailing Fax Number | 4808317563 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JOHN HOGEBOOM (DEPUTY CEO) |
| Authorized Official Telephone | 4808317566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS | OTC9247 | 01 |
| Other Name | Type Code |
|---|---|
| Healthcare for Homeless | Doing Business As Name - Organization |
| Phoenix Rise | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 W. 12th Avenue, Phoenix, AZ 85007 | 4808317566 |
| 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 |
| 1205115631 | Community Bridges, Inc. | Community/Behavioral Health | 824 N 99th Ave, Suite 108, Avondale, AZ 85323-5315 | 2011-08-16 |
| 1003102120 | Community Bridges, Inc. | Clinical Medical Laboratory | 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122-2023 | 2011-06-27 |
| 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 |
1125 W JACKSON ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906111 | Lisa Renee Chandler | Social Worker | 1125 W Jackson St, Phoenix, AZ 85007-3110 | 2020-06-11 |
| 1497260426 | Circle The City | Clinic/Center | 1125 W Jackson St, Phoenix, AZ 85007-3110 | 2017-12-13 |
| 1841735115 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007-3110 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| 1063400760 | Patricia R Reiff | Family Medicine | 1101 West Mc Dowell, Phoenix, AZ 85007 | 2005-10-07 |
| Find all providers in zip 85007 | ||||
| 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 |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
| 1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
| 1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
| 1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
| 1275095432 | All About You Behavioral Health Center Inc | Case Management | 2920 N 24th Ave Ste 240, Phoenix, AZ 85015-5960 | 2019-04-04 |
| 1417413949 | Abel's House Inc. | Case Management | 1127 W Peoria Ave, Phoenix, AZ 85029-5984 | 2019-02-20 |
| 1801369632 | 1514 Bethany Home Management, LLC | Case Management | 1514 W Bethany Home Rd, Phoenix, AZ 85015-2504 | 2019-01-03 |
| 1083192215 | Dcc, Inc. Dba Kidney Dialysis Avoidance Program | Case Management | 22601 N 19th Ave Ste 230, Phoenix, AZ 85027-1362 | 2018-07-31 |
| Find all providers in PHOENIX | ||||
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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.