Active NPI
Bridge Community Outreach Inc
- In Home Supportive Care Agency
- Miami Lakes, FL
National Provider Identifier
1497234207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BRIDGE COMMUNITY OUTREACH INC
- Practice address
- 5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434 - Phone
- (786) 953-5120
- Fax
- (786) 636-6965
- NPI assigned
- Aug 13, 2018
- Last updated
- Nov 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bianca Gonzalez
- Title
- Administrator
- Phone
- (786) 953-5120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434
Mailing address
5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434
Phone (786) 953-5120
Other names 1
- Ms.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse's Aide
- Miami Lakes, FL
- NPI 1699280461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542326400000",
"number": "1497234207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST STE 102I",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142434",
"telephone_number": "786-953-5120",
"fax_number": "786-636-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST STE 102I",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142434",
"telephone_number": "786-953-5120",
"fax_number": "786-636-6965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE COMMUNITY OUTREACH INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-13",
"last_updated": "2018-11-16",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "BIANCA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-953-5120"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ms.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Miami Lakes, FL
- Brewster Group Inc (MGN Healthcare Services)
- Carmen Briceno Crespi, DMD, MS
- Briceno Martin P.a.
- Maria Briceno Martin, O.D
- Bridge Behavioral Services Corp
- Bridges Community Services Corp
- Bridging the Gap Speech
- Bright Horizon ABA LLC
- Bright Life Behavioral Solutions
- Maria del Pilar Brinez Giraldo, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.