Highland Community Bridge, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HIGHLAND COMMUNITY BRIDGE, LLC

Doing business as

HIGHLAND COMMUNITY BRIDGE, LLC

Practice address

4752 Stardust Cir
Plainfield, IN 46168-0108

Phone

(207) 518-0783

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Mukunda K. Albert

Title

Owner

Phone

(207) 518-0783

Specialties & licenses 1

Addresses

Other names 1

• HIGHLAND COMMUNITY BRIDGE, LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1417617176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 STARDUST CIR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461680108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 STARDUST CIR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461680108",
            "telephone_number": "207-518-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND COMMUNITY BRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "MUKUNDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-518-0783"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Devices",
            "affiliation": "N",
            "endpointDescription": "Electronic devices",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4752 Stardust Cir",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461680108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HIGHLAND COMMUNITY BRIDGE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Germaine Herman
• Herohouse Pediatrics LLC
• Olivia Hesler, RBT
• Deborah L Hewitt, MSW, LCSW
• Laurel Hicks, LCSW, LLC
• Aubrey Hill, RBT
• Daniel Hill
• Andrew Hills, DO
• April Ranae Hinchman, PT, DPT, CWS
• Anne Hinderer

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.