Provider Demographics
NPI:1053919050
Name:BUILDING BRIDGES IN HEALTHCARE LLC
Entity type:Organization
Organization Name:BUILDING BRIDGES IN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O/PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEADON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-463-8442
Mailing Address - Street 1:2007 LIBERTY COVE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2338
Mailing Address - Country:US
Mailing Address - Phone:832-463-8442
Mailing Address - Fax:
Practice Address - Street 1:2007 LIBERTY COVE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2338
Practice Address - Country:US
Practice Address - Phone:832-463-8442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities