NPIMap

Organization Active NPI

Bridge House Corporation

  • Substance Abuse Rehabilitation Facility
  • New Orleans, LA
National Provider Identifier
1689966558
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
057C Issued in LA
Legal business name
BRIDGE HOUSE CORPORATION
Practice address
4150 Earhart Blvd
New Orleans, LA 70125-1955
Phone
(504) 821-7122
Fax
(504) 827-8747
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Ms. Else Dorothea Pedersen-Wasson, MBA, LAC
Title
Executive Director
Phone
(504) 821-7122

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 057A LA
Substance Abuse Rehabilitation Facility 324500000X 057B LA
Substance Abuse Rehabilitation Facility 324500000X 057C LA Primary

Addresses

Primary practice location

4150 Earhart Blvd
New Orleans, LA 70125-1955

Mailing address

4150 Earhart Blvd
New Orleans, LA 70125-1955
Phone (504) 821-7122

National Provider Directory

National Provider Directory
Tax ID family
Bridge House Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1689966558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251955",
            "telephone_number": "504-821-7122",
            "fax_number": "504-827-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251955",
            "telephone_number": "504-821-7122",
            "fax_number": "504-827-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HOUSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN-WASSON",
        "authorized_official_first_name": "ELSE",
        "authorized_official_middle_name": "DOROTHEA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-821-7122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, LAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "057A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "057B",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "057C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.