Assisi Bridge House | NPI 1922370782

Key facts

NPI: 1922370782
Entity type: Organization (NPI type 2)
Primary specialty: Substance Abuse Rehabilitation Facility 324500000X
License: 113 (LA)
Legal business name: ASSISI BRIDGE HOUSE
Practice address: 600 Bull Run Rd
Schriever, LA 70395-3210
Phone: (985) 872-5529
Fax: (985) 857-8270
NPI assigned: Feb 8, 2012
Organization subpart: Yes
Parent organization (as reported): CATHOLIC CHARITIES OF THE DIOCESE OF HOUMA-THIBODAUX

Authorized official

Name: Mr. Robert Damien Gorman, LCSW, ACSW
Title: Executive Director
Phone: (985) 876-0490

Corporate family (same tax ID) 1

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

Assisi Bridge House Independent Living Program Substance Abuse Rehabilitation Facility · Houma, LA · NPI 1881968519

NPD tax ID

Practitioners 1

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

Monique Albarado Professional Counselor · Schriever, LA · NPI 1881067445

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
19D2075586	Assisi Bridge House 600 Bull Run Road, Schriever, LA 70395	Certificate of waiver	Mar 31, 2028

National Provider Directory

Tax ID family: Assisi Bridge House Independent Living Program (2 organizations share this tax ID)
Part of: Assisi Bridge House Independent Living Program

Locations

600 Bull Run Rd
Schriever, LA 70395
Phone (985) 872-5529

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Substance Abuse Rehabilitation Facility	324500000X	113	LA	Yes

Addresses

Primary practice location

600 Bull Run Rd
Schriever, LA 70395-3210

Mailing address

1220 Aycock St
Houma, LA 70360-6402
Phone (985) 876-0490

Other providers in Schriever, LA

All providers in Schriever, LA · Substance Abuse Rehabilitation Facility in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.