Active NPI
Bridges of Virginia, LLC.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Roanoke, VA
National Provider Identifier
1396266714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.