Provider Demographics
NPI:1891080545
Name:CAREBRIDGE PALLIATIVE CARE SERVICES
Entity Type:Organization
Organization Name:CAREBRIDGE PALLIATIVE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHMERR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, CNS
Authorized Official - Phone:513-218-3454
Mailing Address - Street 1:5941 FALCON WAY
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47022-8753
Mailing Address - Country:US
Mailing Address - Phone:513-218-3454
Mailing Address - Fax:
Practice Address - Street 1:5941 FALCON WAY
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:IN
Practice Address - Zip Code:47022-8753
Practice Address - Country:US
Practice Address - Phone:513-218-3454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN298215282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital