Bridge Health Care Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGE HEALTH CARE SERVICES LLC

Practice address

1701 Irving LN N
Brooklyn Center, MN 55430-1011

Phone

(612) 501-3426

NPI assigned

Oct 26, 2024

Organization subpart

No

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

Authorized official

Name

Ali Farah

Title

Ceo

Phone

(612) 501-3426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1114749728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 IRVING LN N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301011",
            "telephone_number": "612-501-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 IRVING LN N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301011",
            "telephone_number": "612-501-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-501-3426"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazaria Kanese Bradford
• Thomas Arthur Breitenbucher, PH.D., L.P.
• Phillip Joseph Breker, PHARMD
• Ross Allen Breneman
• Daniel S. Brewer Jr.
• Bridging Together LLC Agency
• Tabitha Vickie Briggs, CNP
• Bright and Associates LLC
• Bright Path Homes
• Bright Side Healthcare LLC

• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.