Provider Demographics
NPI:1568067957
Name:KERN BRIDGES YOUTH HOMES, INC.
Entity Type:Organization
Organization Name:KERN BRIDGES YOUTH HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:661-396-2362
Mailing Address - Street 1:1321 STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4176
Mailing Address - Country:US
Mailing Address - Phone:661-396-2360
Mailing Address - Fax:661-396-2349
Practice Address - Street 1:32549 BETTY JEAN AVE
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:CA
Practice Address - Zip Code:93250-9534
Practice Address - Country:US
Practice Address - Phone:661-392-7840
Practice Address - Fax:661-396-2349
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KERN BRIDGES YOUTH HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children