Bridging Waters Together, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

BRIDGING WATERS TOGETHER, LLC

Doing business as

Bridging Waters Pca & Transportation Services

Practice address

7451 Riviera Blvd Ste 219
Miramar, FL 33023-6572

Phone

(352) 396-4325

NPI assigned

Mar 27, 2017

Last updated

Jun 12, 2023By 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

Charra Vanae TaylorNPI 1215468558

Title

Owner

Phone

(352) 396-4325

Specialties & licenses 7

Addresses

Other names 1

• BRIDGING WATERS PCA & TRANSPORTATION SERVICES Doing business as

Locations

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.

• Charra Vanae Taylor

  • Developmental Disabilities Clinic/Center
  • Pahokee, FL
  • NPI 1215468558
  NPD Authorized official

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1114458577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 RIVIERA BLVD STE 219",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236572",
            "telephone_number": "352-396-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 RIVIERA BLVD STE 219",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236572",
            "telephone_number": "352-396-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8888 Seville St",
            "address_purpose": "LOCATION",
            "city": "Pahokee",
            "state": "FL",
            "postal_code": "334761609",
            "country_code": "US",
            "telephone_number": "352-396-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGING WATERS TOGETHER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHARRA",
        "authorized_official_middle_name": "VANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-396-4325"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGING WATERS PCA & TRANSPORTATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.