Provider Demographics
NPI:1851920946
Name:BRIDGE TO HOMECARE
Entity Type:Organization
Organization Name:BRIDGE TO HOMECARE
Other - Org Name:HOMEFIRST HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-283-7528
Mailing Address - Street 1:215 CENTURY PL APT 1213
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7504
Mailing Address - Country:US
Mailing Address - Phone:703-283-7528
Mailing Address - Fax:
Practice Address - Street 1:10605 JUDICIAL DR STE B4
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5167
Practice Address - Country:US
Practice Address - Phone:540-325-9519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health