Active NPI
Community Bridges West, Inc.
- In Home Supportive Care Agency
- Ruston, LA
National Provider Identifier
1326288002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- COMMUNITY BRIDGES WEST, INC.
- Practice address
- 1201 Atkins Rd
Ruston, LA 71270-8717 - Phone
- (318) 255-9137
- Fax
- (318) 255-8233
- NPI assigned
- Feb 20, 2009
- 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
- Mr. Michael Lane Reynolds
- Title
- Ceo
- Phone
- (318) 255-9137
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1201 Atkins Rd
Ruston, LA 71270-8717
Mailing address
PO Box 715
Ruston, LA 71273-0715
Phone (318) 255-9137
National Provider Directory
National Provider Directory- Tax ID family
- Community Bridges West Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Ruston, LA
- NPI 1134255912
-
- Intellectual Disabilities Intermediate Care Facility
- Bossier City, LA
- NPI 1255467031
-
- Intellectual Disabilities Intermediate Care Facility
- Benton, LA
- NPI 1386770162
-
- In Home Supportive Care Agency
- Ruston, LA
- NPI 1467692137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235088000000",
"number": "1326288002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715",
"city": "RUSTON",
"state": "LA",
"postal_code": "712730715",
"telephone_number": "318-255-9137",
"fax_number": "318-255-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ATKINS RD",
"city": "RUSTON",
"state": "LA",
"postal_code": "712708717",
"telephone_number": "318-255-9137",
"fax_number": "318-255-8233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY BRIDGES WEST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-255-9137",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.