BRIDGE HEALTH CARE SERVICES LLC
NPI 1114749728
Assisted Living Facility in Brooklyn Center, MN

Active since October 26, 2024CLIA 24D2334236 · Waiver
1701 IRVING LN N, BROOKLYN CENTER, MN 55430(612) 501-3426 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridge Health Care Services Llc NPPES

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

BRIDGE HEALTH CARE SERVICES LLC (NPI 1114749728) is a healthcare organization registered as an assisted living facility in Brooklyn Center, Minnesota and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Ali Farah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114749728
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRIDGE HEALTH CARE SERVICES LLC
Location Address1701 IRVING LN NBrooklyn Center, MN 55430-1011
Mailing Address1701 Irving Ln NBrooklyn Center, MN 55430-1011 · (612) 501-3426
Organization SubpartNo
Authorized OfficialAli FarahCeo · (612) 501-3426
Enumeration DateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
NPI 1114749728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1701 IRVING LN N, Brooklyn Center, MN 55430

CLIA Laboratory Certificates CMS CLIA

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 24D2334236

Bridge Health Care Servicies LLC · Brooklyn Center, MN
Active · expires Nov 17, 2027
CLIA Number24D2334236
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorAli A. Farah
Laboratory Phone(612) 501-3426
Laboratory LocationBridge Health Care Servicies LLC1701 Irving Lane N, Brooklyn Center, MN 55430
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bridge Health Care Services LLC's NPI number?

The NPI number for Bridge Health Care Services LLC is 1114749728. It was assigned to this organization in the NPPES registry on October 26, 2024.

Where is Bridge Health Care Services LLC located?

Bridge Health Care Services LLC is located at 1701 Irving Ln N, Brooklyn Center, MN 55430. The listed phone number is (612) 501-3426.

What is Bridge Health Care Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bridge Health Care Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2334236) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridge Health Care Services LLC was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.