Organization Active NPI

Bridges of Hope LLC

  • Substance Abuse Rehabilitation Facility
  • Anderson, IN
National Provider Identifier
1447701230
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRIDGES OF HOPE LLC
Practice address
2200 Madison SQ
Anderson, IN 46011-9548
Phone
(765) 643-0121
Fax
(765) 643-0130
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Carl Waterman
Title
Ceo
Phone
(765) 643-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2200 Madison SQ
Anderson, IN 46011-9548

Mailing address

2200 Madison SQ
Anderson, IN 46011-9548
Phone (765) 643-0121

Other identifiers 2

IdentifierTypeStateIssuer
300006987OtherINGROUP MEDICAID
IN3606OtherINGROUP MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1447701230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MADISON SQ",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119548",
            "telephone_number": "765-643-0121",
            "fax_number": "765-643-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MADISON SQ",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119548",
            "telephone_number": "765-643-0121",
            "fax_number": "765-643-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-643-0121"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "300006987",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "IN3606",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.