Bridging The Tys To Jordan Inc

LBN: Bridging The Tys To Jordan Inc
Bridging The Tys To Jordan Inc is an health care organization with primary practice located at 7122 S Vincennes Ave Suite B, Chicago IL 60621-2661. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Case Management is the primary health care specialty. Bridging The Tys To Jordan Inc can be contacted via phone (773) 425-8159, or through Everett, Tyson via phone (773) 425-8159.

Contact Information

Primary practice address
7122 S Vincennes Ave Suite B Chicago IL 60621-2661
Phone: (773) 425-8159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Everett, Tyson
Phone: (773) 425-8159

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X A-3249-0001 Illinois
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1083884019
LBN Legal business name Bridging The Tys To Jordan Inc
DBA Doing business as
Authorized official Everett, Tyson
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2008
Last updated Sep 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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