Provider Demographics
NPI:1831423334
Name:CAREBRIDGE PALLIATIVE SERVICES INC.
Entity type:Organization
Organization Name:CAREBRIDGE PALLIATIVE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:KILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-528-8150
Mailing Address - Street 1:7625 CAMARGO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-3107
Mailing Address - Country:US
Mailing Address - Phone:513-528-8150
Mailing Address - Fax:513-528-8151
Practice Address - Street 1:7625 CAMARGO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-3107
Practice Address - Country:US
Practice Address - Phone:513-528-8150
Practice Address - Fax:513-528-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18521072084H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative MedicineGroup - Single Specialty