Provider Demographics
NPI:1235680646
Name:BRIDGES HOME HEATLH CARE
Entity Type:Organization
Organization Name:BRIDGES HOME HEATLH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SERVICES ADMIN ASST
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-383-6665
Mailing Address - Street 1:5075 WINDFALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256
Mailing Address - Country:US
Mailing Address - Phone:330-764-1000
Mailing Address - Fax:
Practice Address - Street 1:5075 WINDFALL DRIVE
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256
Practice Address - Country:US
Practice Address - Phone:330-764-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF THE WESTERN RESERVE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health