Bridging the Gap Serivices LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SC1761 Issued in MD

Legal business name

BRIDGING THE GAP SERIVICES LLC

Practice address

2511 Eutaw PL Ste 204
Baltimore, MD 21217-5202

Phone

(410) 528-8692

Fax

(410) 528-8675

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Melody A McCreary, MHS CSC-AD

Title

Administrator

Phone

(240) 550-2514

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bridging the Gap Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bridging the Gap Services LLC

  • Substance Abuse Rehabilitation Facility
  • Temple Hills, MD
  • NPI 1548826233
  NPD tax ID

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1487058517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 OLD BRANCH AVE STE 204",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351627",
            "telephone_number": "240-318-5790",
            "fax_number": "240-318-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 EUTAW PL STE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212175202",
            "telephone_number": "410-528-8692",
            "fax_number": "410-528-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP SERIVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-550-2514",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS CSC-AD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "SC1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "842250",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bridginglife, Inc.

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.