NPIMap

Organization Active NPI

Bridging Lives LLC

  • Assisted Living Facility
  • Hemet, CA
National Provider Identifier
1780131466
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336426462 Issued in CA
Legal business name
BRIDGING LIVES LLC
Practice address
853 Colorado Dr
Hemet, CA 92544-7815
Phone
(951) 927-6293
Fax
(951) 924-7334
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Mrs. Betty Ann Stevens, NP
Title
Owner
Phone
(909) 841-3513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336426462 CA Primary

Addresses

Primary practice location

853 Colorado Dr
Hemet, CA 92544-7815

Mailing address

12416 Prairie Wind TRL
Rancho Belago, CA 92555-5405
Phone (909) 841-3513

Other names 1

  • Colorado Chalet Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridging Lives LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1780131466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12416 PRAIRIE WIND TRL",
            "city": "RANCHO BELAGO",
            "state": "CA",
            "postal_code": "925555405",
            "telephone_number": "909-841-3513",
            "fax_number": "951-924-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 COLORADO DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447815",
            "telephone_number": "951-927-6293",
            "fax_number": "951-924-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-841-3513",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336426462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Chalet Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.