Bridges to Greater Grace Foundation

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BRIDGES TO GREATER GRACE FOUNDATION

Practice address

820 N 45TH St Unit 202
Philadelphia, PA 19104-1377

Phone

(718) 924-7530

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Rachelle Lyron, BACHELORS

Title

Ceo

Phone

(718) 924-7530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1679010656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N 45TH ST UNIT 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041377",
            "telephone_number": "718-924-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N 45TH ST UNIT 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041377",
            "telephone_number": "718-924-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO GREATER GRACE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "LYRON",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-924-7530",
        "authorized_official_credential": "BACHELORS"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Care Hospice Inc
• Bridge Residential Homes
• Bridge Support Coordination Services
• Bridgecare Medicine LLC
• Amy Bridgeman, M.D.
• Michael R Bridges, PH.D.
• Kelly Marie Bridgham
• Natalia Bridy
• Lindsey Brier, MD, PHD
• Nora Brier, PSY.D.

• Developmental Disabilities Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Developmental Disabilities Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.