Bridge of Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

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

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Alain Perez Hernandez, CBHCMSNPI 1386919173

Title

Director

Phone

(786) 368-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bridge of Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bridge of Care LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1245752062
  NPD tax ID
• Bridge of Care LLC

  • Case Management Agency
  • Lake Worth, FL
  • NPI 1770257412
  NPD tax ID

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.

• Alain Perez Hernandez, CBHCMS

  • Social Worker
  • Miami, FL
  • NPI 1386919173
  Authorized official Same address or phone

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1255856936",
    "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": "305-603-7063",
            "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": [],
    "basic": {
        "organization_name": "BRIDGE OF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ HERNANDEZ",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-368-1112",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101485600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew L Brickman
• Dawn Marcella Brickman
• Bridge & Bloom Rehabilitation PLLC
• Bridge for the Life Health Service LLC
• Bridge of Care LLC
• Bridge of Hope Central Florida Corp
• Bridge Physical Therapy and Performance LLC
• Bridge to Thrive Childrens Center LLC
• Brittany L Bridges, RN
• Khari Hasan Bridges, M.D.

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.