East Valley Addiction Recovery Center
LBN: Community Bridges, Inc.
East Valley Addiction Recovery Center is an health care organization with primary practice located at 560 S Bellview Rooms B & C, Mesa AZ 85204-2504. The organization recently has 5 registered licenses in different health care specialties including Agencies / Nursing Care, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Laboratories / Clinical Medical Laboratory, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Community Bridges, Inc. can be contacted via phone (480) 962-7711, or through Hogeboom, John F via phone (480) 831-7566.
Contact Information
Primary practice address
560 S Bellview Rooms B & C
Mesa AZ 85204-2504
Phone: (480) 962-7711
Fax: (480) 831-7563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | IFBH6337 | Arizona |
| Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X | IFBH6337 | Arizona |
| Laboratories / Clinical Medical Laboratory | 291U00000X | IFBH6337 | Arizona |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | ||
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | IFBH6337 | Arizona |
Profile Details
| NPI number | 1134240328 |
|---|---|
| LBN Legal business name | Community Bridges, Inc. |
| DBA Doing business as | East Valley Addiction Recovery Center |
| Authorized official | Hogeboom, John F LISAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Feb 28th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134240328 | NPPES |
| Arizona | MEDICAID | 385867 | |
| Arizona | Other | Z145163 |
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