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COMMUNITY BRIDGES SOUTH, INC.
NPI 1114600749
Intermediate Care Facility, Intellectual Disabilities in Bossier City, LA

Active since August 10, 2023CLIA Certified · 3 labs
2515 BROWNLEE RD, BOSSIER CITY, LA 71111(318) 255-9137 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Bridges South, Inc. NPPES

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

COMMUNITY BRIDGES SOUTH, INC. (NPI 1114600749), doing business as Jericho Community Home, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Bossier City, Louisiana and active in the NPI registry since August 2023. The organization holds 3 active CLIA laboratory certificates and lists Matthew R Price, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114600749
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY BRIDGES SOUTH, INC.
Location Address2515 BROWNLEE RDBossier City, LA 71111-2011
Mailing AddressPo Box 715Ruston, LA 71273-0715 · (318) 255-9137
Phone(318) 255-9137
Organization SubpartYes
Authorized OfficialMatthew R PriceCeo · (205) 712-1381
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1114600749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2515 BROWNLEE RD, Bossier City, LA 71111
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Other Names 1

Doing Business AsJericho Community Home

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1047190

Community Bridges South Maples Street · Ruston, LA
Active · expires Oct 27, 2027
CLIA Number19D1047190
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorMichael L. Reynolds
Laboratory Phone(318) 255-9137
Laboratory LocationCommunity Bridges South Maples Street225 Maple Street, Ruston, LA 71270
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D1047201

Community Bridges South Day Program · Ruston, LA
Active · expires Oct 27, 2027
CLIA Number19D1047201
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorMichael L. Reynolds
Laboratory Phone(318) 255-9137
Laboratory LocationCommunity Bridges South Day Program1201 Atkins Road, Ruston, LA 71270
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D0979585

Community Bridges South Apache Home · Winnfield, LA
Active · expires Oct 25, 2026
CLIA Number19D0979585
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorMichael L. Reynolds,
Laboratory Phone(318) 255-9137
Laboratory LocationCommunity Bridges South Apache Home2000 Apache Drive, Winnfield, LA 71483
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

COMMUNITY BRIDGES WEST, INC.
Intermediate Care Facility, Intellectual Disabilities
2515 BROWNLEE RD
BOSSIER CITY, LA 71111
Bossier Parish (318) 255-9137

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 Community Bridges South, Inc.'s NPI number?

The NPI number for Community Bridges South, Inc. is 1114600749. It was assigned to this organization in the NPPES registry on August 10, 2023. The provider is doing business as Jericho Community Home.

Where is Community Bridges South, Inc. located?

Community Bridges South, Inc. is located at 2515 Brownlee Rd, Bossier City, LA 71111. The listed phone number is (318) 255-9137.

What is Community Bridges South, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Community Bridges South, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Community Bridges South, Inc. was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.