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MENDING BRIDGES LLC
NPI 1356163299
Substance Abuse Rehabilitation Facility in Anaheim, CA

Active since October 31, 2024CLIA 05D2336161 · Waiver
430 N STATE COLLEGE BLVD, UNIT A AND C, ANAHEIM, CA 92806(657) 216-4133 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mending Bridges Llc NPPES

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

MENDING BRIDGES LLC (NPI 1356163299) is a healthcare organization registered as a substance abuse rehabilitation facility in Anaheim, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Miguel Ureta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356163299
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMENDING BRIDGES LLC
Location Address430 N STATE COLLEGE BLVD, UNIT A AND CAnaheim, CA 92806-2916
Mailing Address1082 Fernleaf LnCorona, CA 92881-3677 · (657) 216-4133
Phone(657) 216-4133
Organization SubpartNo
Authorized OfficialMiguel UretaCeo · (657) 216-4133
Enumeration DateOctober 31, 2024
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1356163299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
430 N STATE COLLEGE BLVD, Anaheim, CA 92806
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2336161

Mending Bridges LLC · Anaheim, CA
Active · expires Dec 23, 2027
CLIA Number05D2336161
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorBishara Michael
Laboratory Phone(657) 216-4133
Laboratory LocationMending Bridges LLC430 N State College Blve Unit A, Anaheim, CA 92806
CLIA data matches this NPI record on: Name 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 Mending Bridges LLC's NPI number?

The NPI number for Mending Bridges LLC is 1356163299. It was assigned to this organization in the NPPES registry on October 31, 2024.

Where is Mending Bridges LLC located?

Mending Bridges LLC is located at 430 N State College Blvd Unit A And C, Anaheim, CA 92806. The listed phone number is (657) 216-4133.

What is Mending Bridges LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Mending Bridges LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2336161) is associated with this NPI, valid through December 23, 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 Mending Bridges LLC was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.