Assisi Bridge House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

113 Issued in 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

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CATHOLIC CHARITIES OF THE DIOCESE OF HOUMA-THIBODAUXAs reported in NPPES

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

Authorized official

Name

Mr. Robert Damien Gorman, LCSW, ACSW

Title

Executive Director

Phone

(985) 876-0490

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Assisi Bridge House Independent Living Program2 organizations share this tax ID, including this one

Part of

Assisi Bridge House Independent Living Program

Other organizations with this 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

Locations

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.

• Monique Albarado

  • Professional Counselor
  • Schriever, LA
  • NPI 1881067445
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1922370782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 AYCOCK ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606402",
            "telephone_number": "985-876-0490",
            "fax_number": "985-876-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BULL RUN RD",
            "city": "SCHRIEVER",
            "state": "LA",
            "postal_code": "703953210",
            "telephone_number": "985-872-5529",
            "fax_number": "985-857-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISI BRIDGE HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE DIOCESE OF HOUMA-THIBODAUX",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAMIEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-876-0490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Albarado
• Samantha Gaudet
• Shawn Bourgeois Gautreaux, LPC-S
• Donna Toups Guidry, M.C.D., CCC-SLP
• Amy Fontenot Harper, MS CCC-SLP
• Frances Aline Pellegrin

• Substance Abuse Rehabilitation Facility in Schriever, LA
• Providers in Schriever, LA by specialty
• Substance Abuse Rehabilitation Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (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.