NPIMap

Organization Active NPI

Bridges Habilitation Services Inc.

Doing business as Bridges

  • Developmentally Disabled Services Day Training Agency
  • Evanston, WY
National Provider Identifier
1740518133
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BRIDGES HABILITATION SERVICES INC.
Doing business as
Bridges
Practice address
1425 Highway 150 S
Ste 2
Evanston, WY 82930-5377
Phone
(307) 789-0664
Fax
(307) 789-1902
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Mr. David M. CanenNPI 1861729667
Title
Ceo
Phone
(307) 789-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1425 Highway 150 S
Ste 2
Evanston, WY 82930-5377

Mailing address

PO Box 1642
Evanston, WY 82931-1642
Phone (307) 789-0664

Other names 1

  • Bridges Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridges3 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1740518133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1642",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829311642",
            "telephone_number": "307-789-0664",
            "fax_number": "307-789-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HIGHWAY 150 S",
            "address_2": "STE 2",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305377",
            "telephone_number": "307-789-0664",
            "fax_number": "307-789-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES HABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "CANEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-789-0664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.