Bridges of Hope LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BRIDGES OF HOPE LLC

Doing business as

Indiana Community Addiction Network (ICAN)

Practice address

18077 River Rd Ste 203
Noblesville, IN 46062-8334

Phone

(317) 740-1930

NPI assigned

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Carl Waterman, MS

Title

Ceo

Phone

(812) 927-0280

Specialties & licenses 1

Addresses

Other names 1

• Indiana Community Addiction Network (ICAN) Doing business as

Tax ID family

Bridges of Hope LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bridges of Hope LLC

  dba Indiana Community Addiction Network (ICAN)

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1679262653
  NPD tax ID

Locations

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1710676788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MADISON SQ",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD STE 203",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628334",
            "telephone_number": "317-740-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-927-0280",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Community Addiction Network (ICAN)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indiana Community Addiction Network (ICAN)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie A Brazus, M.D.
• Karolla Breda
• Debra Bredemeyer, PHARMD
• Carie J Brewer, NP
• Rachel E Brichler, PT, DPT, CLT-LANA
• Kathryn Paige Brinegar, NP
• Kraig Brittain, DPT
• Cody Alan Brobst, MA
• Caitlin Brooks
• Jill Brooks, M.S., LMFT

• Substance Use Disorder Rehabilitation Clinic/Center in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.