Smi Supportive Housing Team

LBN: Community Bridges, Inc.
Smi Supportive Housing Team is an health care organization with primary practice located at 824 N 99Th Ave Ste 108 , Avondale AZ 85323-5327. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral 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 108 Avondale AZ 85323-5327
Phone: (623) 907-1457
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogeboom, John
Phone: (480) 831-7566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X OTC5972 Arizona
Agencies / Community/Behavioral Health 251S00000X OTC5972 Arizona

Profile Details

NPI number 1982119855
LBN Legal business name Community Bridges, Inc.
DBA Doing business as Smi Supportive Housing Team
Authorized official Hogeboom, John
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2017
Last updated Dec 13th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982119855 NPPES
Arizona Other OTC5972 ADHS

Popular Providers