Jericho Home

LBN: Community Bridges West, Inc.
Jericho Home is an health care organization with primary practice located at 2515 Brownlee Rd , Bossier City LA 71111-2011. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Community Bridges West, Inc. can be contacted via phone (318) 255-9137, or through Reynolds, Mike L. via phone (318) 255-9137.

Contact Information

Primary practice address
2515 Brownlee Rd Bossier City LA 71111-2011
Phone: (318) 255-9137
Fax: (318) 255-8233
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Mike L.
Phone: (318) 255-9137

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 896 Louisiana

Profile Details

NPI number 1255467031
LBN Legal business name Community Bridges West, Inc.
DBA Doing business as Jericho Home
Authorized official Reynolds, Mike L.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255467031 NPPES
Louisiana MEDICAID 1718441

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