Provider Demographics
NPI:1083288286
Name:ST. BRIDGET HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:ST. BRIDGET HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ONYINYE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAKAMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-625-6001
Mailing Address - Street 1:19 WISMER RD
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2835
Mailing Address - Country:US
Mailing Address - Phone:267-625-6001
Mailing Address - Fax:
Practice Address - Street 1:19 WISMER RD
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2835
Practice Address - Country:US
Practice Address - Phone:267-625-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health