Active NPI
Bridges
- Developmentally Disabled Services Day Training Agency
- Benton Harbor, MI
National Provider Identifier
1609166438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BRIDGES
- Doing business as
- Bridges Adult Day Services & Resource Center
- Practice address
- 2420 Kurt Rd
Benton Harbor, MI 49022-8013 - Phone
- (269) 252-6857
- NPI assigned
- Apr 13, 2011
- 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
- Ms. Chasity Brittany Drake, RMA
- Title
- C.O/Director
- Phone
- (269) 252-6857
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
2420 Kurt Rd
Benton Harbor, MI 49022-8013
Mailing address
2420 Kurt Rd
Benton Harbor, MI 49022
Phone (269) 252-6857
Other names 1
- Bridges Adult Day Services & Resource Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1609166438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 KURT RD",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "49022",
"telephone_number": "269-252-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 KURT RD",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490228013",
"telephone_number": "269-252-6857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "CHASITY",
"authorized_official_middle_name": "BRITTANY",
"authorized_official_title_or_position": "C.O/DIRECTOR",
"authorized_official_telephone_number": "269-252-6857",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RMA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridges Adult Day Services & Resource Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.