Provider Demographics
NPI:1659060168
Name:BRIDGE TRANSITION SERVICES
Entity Type:Organization
Organization Name:BRIDGE TRANSITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAREKE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-521-9731
Mailing Address - Street 1:1565 S WHEELING CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5362
Mailing Address - Country:US
Mailing Address - Phone:303-521-9731
Mailing Address - Fax:
Practice Address - Street 1:1565 S WHEELING CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5362
Practice Address - Country:US
Practice Address - Phone:303-521-9731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty