Organization Active NPI

Bridging the Gap Family Services

  • Community/Behavioral Health Agency
  • Manassas, VA
National Provider Identifier
1942698394
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGING THE GAP FAMILY SERVICES
Practice address
10432 Balls Ford Rd
Suite 383
Manassas, VA 20109-2514
Phone
(703) 881-7783
Fax
(703) 337-0320
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Mr. Rahmell Dash, MBA
Title
Chief Operating Officer
Phone
(917) 670-2651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10432 Balls Ford Rd
Suite 383
Manassas, VA 20109-2514

Mailing address

10432 Balls Ford Rd
Suite 383
Manassas, VA 20109-2514
Phone (703) 881-7783

Other identifiers 1

IdentifierTypeStateIssuer
600949770MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Bridging the Gap Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10432 Balls Ford Rd
Ste 383
Manassas, VA 20109
Phone (703) 881-7783

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1942698394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD",
            "address_2": "SUITE 383",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092514",
            "telephone_number": "703-881-7783",
            "fax_number": "703-337-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD",
            "address_2": "SUITE 383",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092514",
            "telephone_number": "703-881-7783",
            "fax_number": "703-337-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "DASH",
        "authorized_official_first_name": "RAHMELL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "917-670-2651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600949770",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.