Bridges Community Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BRIDGES COMMUNITY SUPPORT SERVICES

Practice address

5222 Andrus Ave
Orlando, FL 32810-5400

Phone

(407) 745-5022

Fax

(407) 601-4302

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Ranea Fowler, M.SNPI 1568950863

Title

Targeted Mental Health Case Manager

Phone

(662) 567-2319

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ranea Fowler, M.S

  • Case Manager/Care Coordinator
  • Orlando, FL
  • NPI 1568950863
  NPD Authorized official
• Renette Clark

  • Case Manager/Care Coordinator
  • Orlando, FL
  • NPI 1245194976
  NPD (past)
• Shakaria Scantling

  • Case Manager/Care Coordinator
  • Orlando, FL
  • NPI 1750245668
  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1659877355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105400",
            "telephone_number": "407-745-5022",
            "fax_number": "407-601-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 ANDRUS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105400",
            "telephone_number": "407-745-5022",
            "fax_number": "407-601-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RANEA",
        "authorized_official_title_or_position": "TARGETED MENTAL HEALTH CASE MANAGER",
        "authorized_official_telephone_number": "662-567-2319",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464686250",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Bridewell, ARNP
• Bridge Builders Aoaf Central
• Katie Bridge, LCSW
• Bridgebuilder Community Services
• Bridgeport Senior Living LLC
• Bridges Community Support Services, Inc
• Bridges Community Support Services, Inc
• Bridges International
• Bridges International Centers for Recovery and Reentry, Inc.
• Jaime Lynn Bridges, LCSW

• Case Management Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.