Provider Demographics
NPI:1093430050
Name:DORCAS BRIDGE HEALTH CARE LLC
Entity Type:Organization
Organization Name:DORCAS BRIDGE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAYEWO
Authorized Official - Middle Name:
Authorized Official - Last Name:SERIKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-501-3220
Mailing Address - Street 1:260 NORTHLAND BLVD STE 113A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4921
Mailing Address - Country:US
Mailing Address - Phone:513-772-0111
Mailing Address - Fax:
Practice Address - Street 1:260 NORTHLAND BLVD STE 113A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4921
Practice Address - Country:US
Practice Address - Phone:513-772-0111
Practice Address - Fax:513-772-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health