CBI - ENCOMPASS PAGE INTEGRATED HEALTH HOME ADOLESCENT PROGRAM
NPI 1316723588
Case Management in Page, AZ

NPI Status: Active since September 05, 2023

Contact Information

463 S LAKE POWELL BLVD
PAGE, AZ
ZIP 86040
Phone: (928) 347-4566

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  • Organization
  • Case Management

About CBI - ENCOMPASS PAGE INTEGRATED HEALTH HOME ADOLESCENT PROGRAM

This page provides the complete NPI Profile along with additional information for Cbi - Encompass Page Integrated Health Home Adolescent Program, a provider established in Page, Arizona operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1316723588 assigned on September 2023. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cbi - Encompass Page Integrated Health Home Adolescent Program. The authorized official of this NPI record is John Hogeboom (President/ceo)

NPI
1316723588
Provider Legal Name
COMMUNITY BRIDGES, INC.
Other Organization Name
CBI - ENCOMPASS PAGE INTEGRATED HEALTH HOME ADOLESCENT PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
463 S LAKE POWELL BLVD PAGE, AZ 86040
Location Phone
(928) 347-4566
Mailing Address
1855 W BASELINE RD STE 101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2023
Last Update Date
09-18-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN HOGEBOOM

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(480) 831-7566

Reviews for CBI - ENCOMPASS PAGE INTEGRATED HEALTH HOME ADOLESCENT PROGRAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316723588
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23261426516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 4 + 2 + 6 + 5 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1316723588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841294378DR. MICHAEL J DEMANGONE MD
Individual
Family Medicine463 S LAKE POWELL BLVD
PAGE, AZ 86040
(928) 645-0945
1386612265 SCOTT D. SADLER P.A.-C
Individual
Physician Assistant (Surgical)463 S LAKE POWELL BLVD
PAGE, AZ 86040
(928) 645-0945
1851456487MR. MICHAEL JASON MOORE D.C.
Individual
Chiropractor463 S LAKE POWELL BLVD STE. A
PAGE, AZ 86040
(928) 645-0945
1407875693 MAUREEN V. GUILFOYLE LICSW
Individual
Social Worker (Clinical)463 S LAKE POWELL BLVD
PAGE, AZ 86040
(928) 645-5113
1558765255 BARBARA VALVO NP-C
Individual
Nurse Practitioner463 S LAKE POWELL BLVD
PAGE, AZ 86040
(928) 645-0945
1003426545 MATTHEW AARON LASSLO
Individual
Counselor463 S LAKE POWELL BLVD
PAGE, AZ 86040
(928) 645-5113
1609626449 SUZANNE TELLEZ DIAZ LCSW
Individual
Social Worker (Clinical)463 S LAKE POWELL BLVD
PAGE, AZ 86040
(928) 645-5113
1578234340MRS. ANGELICA MARIA BENNETT LPC, LCPC
Individual
463 S LAKE POWELL BLVD
PAGE, AZ 86040
(480) 528-2310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316723588, enumerated in the NPI registry as an "organization" on September 05, 2023

The provider is located at 463 S Lake Powell Blvd Page, Az 86040 and the phone number is (928) 347-4566

This medical organization specializes in Case Management with taxonomy code 251B00000X

This NPI record was last updated on September 05, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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