Provider Demographics
NPI:1326583907
Name:BRIDGES HOME HEALTH, INC.
Entity Type:Organization
Organization Name:BRIDGES HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:818-268-8813
Mailing Address - Street 1:335 N AUSTIN DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2621
Mailing Address - Country:US
Mailing Address - Phone:602-841-1855
Mailing Address - Fax:602-532-7832
Practice Address - Street 1:335 N AUSTIN DR STE 1A
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2621
Practice Address - Country:US
Practice Address - Phone:602-841-1855
Practice Address - Fax:602-532-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA8001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health