Active NPI
Bridge of Care LLC
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1245752062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BRIDGE OF CARE LLC
- Practice address
- 11401 SW 40TH St Ste 345
Miami, FL 33165-3372 - Phone
- (305) 603-7063
- Fax
- (305) 603-8705
- NPI assigned
- Jul 13, 2017
- Last updated
- Sep 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alain Perez Hernandez, CBHCMS
- Title
- Ceo
- Phone
- (305) 603-7063
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 022283100 | FL | |
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
11401 SW 40TH St Ste 345
Miami, FL 33165-3372
Mailing address
11401 SW 40TH St Ste 345
Miami, FL 33165-3372
Phone (306) 603-7063
Other practice location 1
2311 10th Ave N Ste 3
Lake Worth, FL 33461-6605
Phone (561) 899-3017
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022283100 | Medicaid | FL | |
| 101485603 | Medicaid | FL | |
| 101485600 | Medicaid | FL | |
| 105068600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Bridge of Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1255856936
-
- Case Management Agency
- Lake Worth, FL
- NPI 1770257412
Locations
2311 10th Ave N
Ste 3
Lake Worth, FL 33461
Phone (305) 603-7063
11401 SW 40th St
Ste 211
Miami, FL 33165
Phone (305) 603-7063
11401 SW 40th St
Ste 345
Miami, FL 33165
Phone (305) 603-7063
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Psychiatry Physician
- South Miami, FL
- NPI 1659802916
-
- Mental Health Counselor
- Miami, FL
- NPI 1659737559
-
- Social Worker
- Miami, FL
- NPI 1386919173
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1124665039
-
- Case Manager/Care Coordinator
- Lake Worth, FL
- NPI 1508128752
-
- Social Worker
- Miami, FL
- NPI 1235478090
-
- Case Manager/Care Coordinator
- Miami, FL
- NPI 1679068902
-
- Case Manager/Care Coordinator
- Miami, FL
- NPI 1770972168
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1215493341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1245752062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 SW 40TH ST STE 345",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653372",
"telephone_number": "306-603-7063",
"fax_number": "305-603-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 SW 40TH ST STE 345",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653372",
"telephone_number": "305-603-7063",
"fax_number": "305-603-8705"
}
],
"practiceLocations": [
{
"address_1": "2311 10th Ave N Ste 3",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334616605",
"country_code": "US",
"telephone_number": "561-899-3017",
"fax_number": "561-429-2622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIDGE OF CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-13",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "PEREZ HERNANDEZ",
"authorized_official_first_name": "ALAIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-603-7063",
"authorized_official_credential": "CBHCMS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "FL",
"license": "022283100",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022283100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101485603",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101485600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105068600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.