Provider Demographics
NPI:1932659430
Name:HEALTH CARE BRIDGE, LLC
Entity Type:Organization
Organization Name:HEALTH CARE BRIDGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-559-2265
Mailing Address - Street 1:3733 PARK EAST DR STE 250
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4334
Mailing Address - Country:US
Mailing Address - Phone:216-382-7621
Mailing Address - Fax:
Practice Address - Street 1:3733 PARK EAST DR STE 250
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-382-7621
Practice Address - Fax:216-382-6035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2441334Medicaid