Bridge 2 Life Healthcare, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

BRIDGE 2 LIFE HEALTHCARE, INC.

Practice address

1331 Addison Way
Perris, CA 92571-3878

Phone

(951) 928-0494

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Vivian Bazley

Title

Vice Pres

Phone

(951) 928-0494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1427348424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2551",
            "city": "GUASTI",
            "state": "CA",
            "postal_code": "917432551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ADDISON WAY",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713878",
            "telephone_number": "951-928-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE 2 LIFE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BAZLEY",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "951-928-0494"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breaking Free of Addiction
• Roswitha Elisabeth Breuer, MD
• Almond Brewer
• Jonathon Michael Brewer
• Bridge 2 Life - El Nido, LLC
• Bridge 2 Life-Addison, LLC (Panda Way)
• Kelli Brower, LCSW
• Camille T Brown
• Nikisha Simone Brown, LCSW
• Rahsheeda Brown, LVN

• Pediatric Skilled Nursing Facility in Perris, CA
• Providers in Perris, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.