The Bridge to Community Services

Primary specialty

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

Legal business name

THE BRIDGE TO COMMUNITY SERVICES

Practice address

76 Hickory Hollow PL
Antioch, TN 37013-3012

Phone

(914) 318-4686

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Hawa Umu Jalloh, MSW, CASAC

Title

Owner / Ceo

Phone

(914) 318-4686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1497114599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HICKORY HOLLOW PL",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133012",
            "telephone_number": "914-318-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HICKORY HOLLOW PL",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133012",
            "telephone_number": "914-318-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE TO COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "JALLOH",
        "authorized_official_first_name": "HAWA",
        "authorized_official_middle_name": "UMU",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "914-318-4686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, CASAC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Antioch, TN
• Providers in Antioch, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.