Provider Demographics
NPI:1790954691
Name:HOMEBRIDGE INC
Entity Type:Organization
Organization Name:HOMEBRIDGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINGAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-255-2079
Mailing Address - Street 1:1035 MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1665
Mailing Address - Country:US
Mailing Address - Phone:415-255-2079
Mailing Address - Fax:
Practice Address - Street 1:1035 MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1665
Practice Address - Country:US
Practice Address - Phone:415-255-2079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health