BRIDGES MN – NPI #1336200922
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

BRIDGES MN is a residential treatment facility located in SAINT PAUL, MN. NPPES has assigned the NPI number 1336200922 to BRIDGES MN on December 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGES MN” is a dba name, the actual legal business name for this organization is ALDRICH BOARDING CARE HOME, LLC. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 7 years ago on Oct 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGES MN below.

NPI Profile for
ALDRICH BOARDING CARE HOME, LLC

NPI Number
1336200922
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALDRICH BOARDING CARE HOME, LLC
Doing Business As (dba): BRIDGES MN
Primary location
1932 UNIVERSITY AVENUE WEST
SAINT PAUL, MN 55104
Phone: (612) 695-6041 Fax: (651) 528-8427
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL GANS
CHIEF OPERATIONS OFFICER
Phone: (952) 913-5990
Updated
Identifiers

Identifiers for BRIDGES MN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE PROVIDER NUMBERMN535543500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
MN 800642-2-RS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.