Provider Demographics
NPI:1932305059
Name:AMERICAN HEALTHBRIDGE, INC
Entity Type:Organization
Organization Name:AMERICAN HEALTHBRIDGE, INC
Other - Org Name:HEALTHBRIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-470-0701
Mailing Address - Street 1:899 PRESIDENTIAL DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2974
Mailing Address - Country:US
Mailing Address - Phone:972-470-0701
Mailing Address - Fax:972-470-0709
Practice Address - Street 1:899 PRESIDENTIAL DR
Practice Address - Street 2:SUITE 108
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2974
Practice Address - Country:US
Practice Address - Phone:972-470-0701
Practice Address - Fax:972-470-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011406251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health