99Th Ave Act

LBN: Community Bridges, Inc.
99Th Ave Act is an health care organization with primary practice located at 824 N 99Th Ave Ste 107-108 , Avondale AZ 85323-5324. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Community Bridges, Inc. can be contacted via phone (623) 907-1457, or through Hogeboom, John via phone (480) 831-7566.

Contact Information

Primary practice address
824 N 99Th Ave Ste 107-108 Avondale AZ 85323-5324
Phone: (623) 907-1457
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John LISAC
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X OTC5972 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC5972 Arizona
Ambulatory Health Care Facilities / Health Service 261QH0100X OTC5972 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X OTC5972 Arizona
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X OTC5972 Arizona

Profile Details

NPI number 1023532025
LBN Legal business name Community Bridges, Inc.
DBA Doing business as 99Th Ave Act
Authorized official Hogeboom, John LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2017
Last updated Apr 7th, 2022 - about 2 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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