Provider Demographics
NPI:1316548084
Name:CAROLINA BRIDGES HOME HEALTH
Entity Type:Organization
Organization Name:CAROLINA BRIDGES HOME HEALTH
Other - Org Name:DIGNIFIED CAREGIVING OF NC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-791-7824
Mailing Address - Street 1:404 HOLDEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-7201
Mailing Address - Country:US
Mailing Address - Phone:919-791-7824
Mailing Address - Fax:
Practice Address - Street 1:312 W MILLBROOK RD STE 121
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4398
Practice Address - Country:US
Practice Address - Phone:919-791-7824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-07
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty