Organization Active NPI

Bridges of Virginia, LLC.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Roanoke, VA
National Provider Identifier
1396266714
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BRIDGES OF VIRGINIA, LLC.
Practice address
3015 Peters Creek Rd NW Ste a
Roanoke, VA 24019-2773
Phone
(540) 970-3461
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Mr. Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3015 Peters Creek Rd NW Ste a
Roanoke, VA 24019-2773

Mailing address

969 Keystone Way Ste 200
Carmel, IN 46032-3001
Phone (540) 556-1448

National Provider Directory

National Provider Directory

Locations

969 Keystone Way
Ste 200
Carmel, IN 46032

3015 Peters Creek Rd NW
Ste A
Roanoke, VA 24019
Phone (540) 970-3461

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1396266714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 KEYSTONE WAY STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323001",
            "telephone_number": "540-556-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 PETERS CREEK RD NW STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192773",
            "telephone_number": "540-970-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF VIRGINIA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2023-03-04",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.