NPIMap

Organization Active NPI

Bridging Lives LLC

  • Assisted Living Facility
  • Rancho Belago, CA
National Provider Identifier
1528457918
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336425538 Issued in CA
Legal business name
BRIDGING LIVES LLC
Practice address
12416 Prairie Wind TRL
Rancho Belago, CA 92555-5405
Phone
(909) 841-3513
Fax
(951) 924-7334
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Mrs. Betty Ann Stevens, NURSE PRACTITIONER
Title
Licensee
Phone
(909) 841-3513

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336425538 CA Primary
Assisted Living Facility 310400000X 336425852 CA

Addresses

Primary practice location

12416 Prairie Wind TRL
Rancho Belago, CA 92555-5405

Mailing address

12416 Prairie Wind TRL
Rancho Belago, CA 92555-5405
Phone (909) 841-3513

National Provider Directory

National Provider Directory
Tax ID family
Bridging Lives LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1528457918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 PRAIRIE WIND TRL",
            "city": "RANCHO BELAGO",
            "state": "CA",
            "postal_code": "925555405",
            "telephone_number": "909-841-3513",
            "fax_number": "951-924-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12416 PRAIRIE WIND TRL",
            "city": "RANCHO BELAGO",
            "state": "CA",
            "postal_code": "925555405",
            "telephone_number": "909-841-3513",
            "fax_number": "951-924-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "909-841-3513",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336425538",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336425852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Belago, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.