Provider Demographics
NPI:1609356344
Name:BRIDGING THE GAP TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BRIDGING THE GAP TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEMONDE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-202-4202
Mailing Address - Street 1:7615 FORUM BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7615 FORUM BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-2111
Practice Address - Country:US
Practice Address - Phone:504-202-4402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA005425075343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)