Provider Demographics
NPI:1558828145
Name:BRIDGE OF HOPE HEALTHCARE,LLC
Entity Type:Organization
Organization Name:BRIDGE OF HOPE HEALTHCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALA ADM.
Authorized Official - Prefix:MR
Authorized Official - First Name:UDOH
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:UBAK-OFFIONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-250-6622
Mailing Address - Street 1:10103 FONDREN RD STE 280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4595
Mailing Address - Country:US
Mailing Address - Phone:832-250-6622
Mailing Address - Fax:713-773-3244
Practice Address - Street 1:10103 FONDREN RD STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4595
Practice Address - Country:US
Practice Address - Phone:832-250-6622
Practice Address - Fax:713-773-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care