Provider Demographics
NPI:1194602235
Name:BRIDGEWELL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:BRIDGEWELL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LUKUMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AFUWAPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-558-6118
Mailing Address - Street 1:16510 NORTHCHASE DR OFC 257
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16510 NORTHCHASE DR OFC 257
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3302
Practice Address - Country:US
Practice Address - Phone:224-558-6118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health