Bridge of Hope Behavioral Health LLC.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

NV-20181511294 Issued in NV

Legal business name

BRIDGE OF HOPE BEHAVIORAL HEALTH LLC.

Practice address

410 River Glider Ave
North Las Vegas, NV 89084-1221

Phone

(678) 515-6507

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dimonte Evans

Title

Owner

Phone

(678) 515-6507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1700362191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 RIVER GLIDER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841221",
            "telephone_number": "678-515-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 RIVER GLIDER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841221",
            "telephone_number": "678-515-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE BEHAVIORAL HEALTH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DIMONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-515-6507"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV-20181511294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharnina Darcia Brent, LMSW, CSW-I
• Chaz Brewer
• Gary Duane Brewer, LMSW
• Kamaliha Brewster, B.A.
• Trisha Brickner
• Bridge the Gap Counseling LLC
• Tyler Bridges
• Bridging the Gap-Adult Sickle Cell Disease Foundation of Nevada
• Andrew Briggs
• Richard Rasmussen Briggs, M.D.

• Mental Illness Community Based Residential Treatment Facility in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.