NPIMap

Organization Active NPI

Bridge of Restoration Inc

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1346530276
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGE OF RESTORATION INC
Practice address
16519 Wax Mallow Dr
Houston, TX 77095-1437
Phone
(281) 758-3858
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Vidah EzeokaNPI 1700480829
Title
Program Director
Phone
(832) 607-4083

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

16519 Wax Mallow Dr
Houston, TX 77095-1437

Mailing address

16519 Wax Mallow Dr
Houston, TX 77095-1437
Phone (281) 758-3858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1346530276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 WAX MALLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951437",
            "telephone_number": "281-758-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 WAX MALLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951437",
            "telephone_number": "281-758-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF RESTORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "EZEOKA",
        "authorized_official_first_name": "VIDAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "832-607-4083"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.