Healing Bridge Community Center Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALING BRIDGE COMMUNITY CENTER CORP

Practice address

261 Westward Dr Ste 202
Miami Springs, FL 33166-5208

Phone

(786) 616-2026

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Eneidis Aldaz Fernandez

Title

President and Executive Director

Phone

(786) 616-2026

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eneidis Aldaz, RBT

  • Behavior Technician
  • Miami, FL
  • NPI 1124668801
  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1891387072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WESTWARD DR STE 202",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WESTWARD DR STE 202",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665208",
            "telephone_number": "786-616-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BRIDGE COMMUNITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "ALDAZ FERNANDEZ",
        "authorized_official_first_name": "ENEIDIS",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "786-616-2026"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Gutierrez
• Juan M Gutierrez
• Roger Halphen, OPTICIAN
• Shannon G Hastings, MS, PT
• Denise Haye, LCSW
• Reysi Hernandez Arcia
• Maridalys Hernandez Caballero
• Yanelys Hernandez Loiz, BA, TCM, CBHCM
• Leonida Hernandez Soto, ARNP
• Danaisy Hernandez

• Community/Behavioral Health Agency in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.