Provider Demographics
NPI:1346933991
Name:HEALTH BRIDGE CONNECTIONS LLC
Entity Type:Organization
Organization Name:HEALTH BRIDGE CONNECTIONS LLC
Other - Org Name:HEALTH BRIDGE CONNECTIONS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-521-8973
Mailing Address - Street 1:12750 NW 27TH AVE APT 57
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-7010
Mailing Address - Country:US
Mailing Address - Phone:786-521-8973
Mailing Address - Fax:
Practice Address - Street 1:1840 W 49TH ST STE 731
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2973
Practice Address - Country:US
Practice Address - Phone:786-521-8973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No385H00000XRespite Care FacilityRespite Care