Organization · NPI-2
Bridgewell Homecare Services LLC
Non-emergency Medical Transport (VAN) · Marietta, GA
NPI number1598588592
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1598588592
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridgewell Homecare Services LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2024
- Certification date
- Nov 5, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 342000000X | Transportation Network Company | – | – |
Other names
- Bridgewell Non-Medical Transportation (Doing Business As)
- Bridgewell Homecare Services (Other Name)
Practice location
2816 Jamont Ct NeMarietta, GA 30068-2264
Phone 781-420-6161
Mailing address
2816 Jamont Ct NeMarietta, GA 30068-2264
Phone 781-420-6161
Authorized official
Paul Mwaniki Kimani
Administrator
7814206161
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