The Bridge to Life Resources Inc

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

THE BRIDGE TO LIFE RESOURCES INC

Practice address

104 Market St
Brockton, MA 02301-6736

Phone

(617) 462-6733

Fax

(781) 963-8992

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michele Padymoise, REGISTERED NURSE

Title

Director

Phone

(617) 462-6733

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Moise, ACCOUNTANT

  • Case Manager/Care Coordinator
  • Brockton, MA
  • NPI 1194155747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1114357647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016736",
            "telephone_number": "617-462-6733",
            "fax_number": "781-963-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016736",
            "telephone_number": "617-462-6733",
            "fax_number": "781-963-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE TO LIFE RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "PADYMOISE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-462-6733",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vikas Tewari, M.D.
• Sejal Thakor, MD
• Fred J Thaler, MD
• Remya Tharackal-Ravindran, M.D.
• Heather Tharpe-Bush
• The Commonwealth of Massachusetts (Brockton Multi Service center)
• The Lactation Network, LLC
• The Lamplighter Center for Renewal, Inc.
• The Light Time Gift Health Care
• The Pacific Home Health Aide Inc

• Day Training/Habilitation Specialist in Brockton, MA
• Providers in Brockton, MA by specialty
• Day Training/Habilitation Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.