Bridging the Gap Residential Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BRIDGING THE GAP RESIDENTIAL SERVICES LLC

Practice address

95 Saint Croix Dr
Newport News, VA 23602-6242

Phone

(757) 762-3601

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Corey Maurice Smith Sr.

Title

Owner

Phone

(757) 762-3601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1952159014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SAINT CROIX DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026242",
            "telephone_number": "757-762-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SAINT CROIX DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026242",
            "telephone_number": "757-762-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-762-3601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Breckons, PT
• Kathryn Ansell Brennan, MD
• Brennsyl
• Amanda Bridger, M.S. CCC-SLP
• Bridging the Gap Counseling Services
• Charle Starlette Brigham
• Bright Paths Behavioral Therapy LLC
• Nicole Bright, MSW
• Holli Elizabeth Briley
• Brittany Brill, FNP-BC

• In Home Supportive Care Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.