Active NPI
Bridges of Hope LLC
- Substance Abuse Rehabilitation Facility
- Anderson, IN
National Provider Identifier
1043715345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 1770-001
- Legal business name
- BRIDGES OF HOPE LLC
- Practice address
- 2200 Madison SQ
Anderson, IN 46011-9548 - Phone
- (765) 643-0121
- NPI assigned
- Mar 28, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Paul Kozel
- Title
- Ceo
- Phone
- (954) 817-1424
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Austin, IN
- NPI 1699749770
National Provider Directory
National Provider DirectoryLocations
2200 Madison Sq
Anderson, IN 46011
Phone (765) 358-7320
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1770-001 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2200 Madison SQ
Anderson, IN 46011-9548
Mailing address
2200 Madison SQ
Anderson, IN 46011-9548
Phone (765) 643-0121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2018.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522195200000",
"number": "1043715345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 MADISON SQ",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460119548",
"telephone_number": "765-643-0121",
"fax_number": "765-643-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 MADISON SQ",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460119548",
"telephone_number": "765-643-0121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES OF HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-28",
"last_updated": "2018-03-28",
"status": "A",
"authorized_official_last_name": "KOZEL",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-817-1424"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "IN",
"license": "1770-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.