Provider Demographics
NPI:1891256699
Name:BRIDGES HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:BRIDGES HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAULSBY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-686-9020
Mailing Address - Street 1:1218 W ASH ST UNIT G
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4655
Mailing Address - Country:US
Mailing Address - Phone:970-686-9020
Mailing Address - Fax:970-686-7567
Practice Address - Street 1:1218 W ASH ST UNIT G
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-4655
Practice Address - Country:US
Practice Address - Phone:970-686-9020
Practice Address - Fax:970-686-7567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health