Organization Active NPI

Bridges of Hope LLC

  • Substance Abuse Rehabilitation Facility
  • Anderson, IN
National Provider Identifier
1043715345
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1770-001 Issued in IN
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.

National Provider Directory

National Provider Directory

Locations

2200 Madison Sq
Anderson, IN 46011
Phone (765) 358-7320

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1770-001 IN Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.