Nicasa - Bridge House

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NICASA - BRIDGE HOUSE

Practice address

3016 Grand Ave
Waukegan, IL 60085-2321

Phone

(847) 662-4124

NPI assigned

Aug 13, 2019

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Snelten

Title

Chief Operating Officer

Phone

(847) 546-6450

Specialties & licenses 1

Addresses

Tax ID family

Nicasa NFP13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

• Nicasa

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Round Lake, IL
  • NPI 1457573099
  NPD tax ID
• Nicasa

  • Voluntary or Charitable Agency
  • Round Lake, IL
  • NPI 1912950460
  NPD tax ID
• Nicasa NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Lake, IL
  • NPI 1952798431
  NPD tax ID
• Nicasa, NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Highland Park, IL
  • NPI 1194149542
  NPD tax ID
• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Buffalo Grove, IL
  • NPI 1225588759
  NPD tax ID
• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Zion, IL
  • NPI 1548674666
  NPD tax ID
• Nicasa, NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukegan, IL
  • NPI 1700336229
  NPD tax ID
• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Chicago, IL
  • NPI 1841614294
  NPD tax ID
• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waukegan, IL
  • NPI 1851715205
  NPD tax ID
• Nicasa, NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo Grove, IL
  • NPI 1902220353
  NPD tax ID
• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Highland Park, IL
  • NPI 1962952499
  NPD tax ID
• Nicasa, NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chicago, IL
  • NPI 1982154407
  NPD tax ID

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1437705746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31979 N FISH LAKE RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600739517",
            "telephone_number": "847-546-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-662-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICASA - BRIDGE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "SNELTEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-546-6450"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Nicole Nelson, LCSW, LPHA
• Gretchen Neuman, RN
• New Era Medical Services, LLC
• Amy Newsome
• Hieu Trong Nguyen
• Nicasa, NFP
• Nicasa, NFP
• Manros Nickens
• Samantha Ann Nierman
• Astrida Nikurs, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.