The Bridge at Fair Park, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE BRIDGE AT FAIR PARK, LLC

Practice address

2535 Martin Luther King Jr Blvd
Dallas, TX 75215-2306

Phone

(214) 565-7823

Fax

(214) 565-0246

NPI assigned

Feb 27, 2007

Last updated

Jul 16, 2024By 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

Paula Watkins

Title

Executive Director

Phone

(214) 565-7823

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1801923198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152306",
            "telephone_number": "214-565-7823",
            "fax_number": "214-565-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152306",
            "telephone_number": "214-565-7823",
            "fax_number": "214-565-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE AT FAIR PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-565-7823"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CARE FACILITY #",
            "identifier": "102501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CARE  LICENSE #",
            "identifier": "119241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Behavior Exchange, Inc.
• The Beloved Interventional Pain Center, LLC
• The Billionaire Women's Club Charity (BWC Beauty)
• The Blueprint: a Body Lab LLC (The BluePrint)
• The Body Shop Chiropractic LLC
• The Brooks Family Transportation Service, LLC (Transportation Service)
• The Caribbean Cajun LLC
• The Cataract Vision Institute LLC
• The Center for Integrative Counseling and Psychology
• The Center for Renewed Health & Wellness, P.a.

• Adult Day Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.