Provider Demographics
NPI:1073104535
Name:BRIDGINGLIFE, INC.
Entity Type:Organization
Organization Name:BRIDGINGLIFE, INC.
Other - Org Name:CARROLL HOSPICE, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:VP CFO CARROLL HOSPITAL
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-871-6114
Mailing Address - Street 1:292 STONER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5629
Mailing Address - Country:US
Mailing Address - Phone:410-871-8000
Mailing Address - Fax:
Practice Address - Street 1:292 STONER AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5629
Practice Address - Country:US
Practice Address - Phone:410-871-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty