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BRIDGING THE TYS TO JORDAN INC
NPI 1083884019
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Chicago, IL

Active since March 05, 2008
5500 S INDIANA AVE BSMT, CHICAGO, IL 60637(773) 425-8159(773) 488-9462 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Sep 30, 2019 (2 updates tracked since 2019).

About Bridging The Tys To Jordan Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGING THE TYS TO JORDAN INC (NPI 1083884019) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Chicago, Illinois and active in the NPI registry since March 2008. The organization lists Tyson Everett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083884019
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameBRIDGING THE TYS TO JORDAN INC
Location Address5500 S INDIANA AVE BSMTChicago, IL 60637-1011
Mailing Address5500 S Indiana Ave BsmtChicago, IL 60637-1011 · (773) 425-8159 · Fax (773) 488-9462
Phone(773) 425-8159
Fax(773) 488-9462
Organization SubpartNo
Authorized OfficialTyson EverettExecutive Director · (773) 425-8159
Enumeration DateMarch 5, 2008
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1083884019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
Also ListedCase ManagementTaxonomy 251B00000X · License A-3249-0001 (IL)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
5500 S INDIANA AVE BSMT, Chicago, IL 60637
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYSON EVERETT CSAC
Case Management
5500 S INDIANA AVE BSMT
CHICAGO, IL 60637
Cook County (773) 488-9460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridging The Tys To Jordan Inc's NPI number?

The NPI number for Bridging The Tys To Jordan Inc is 1083884019. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Bridging The Tys To Jordan Inc located?

Bridging The Tys To Jordan Inc is located at 5500 S Indiana Ave Bsmt, Chicago, IL 60637. The listed phone number is (773) 425-8159.

What is Bridging The Tys To Jordan Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Bridging The Tys To Jordan Inc was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.