Provider Demographics
NPI:1912505140
Name:BRIDGES HOSPICE CARE LLC
Entity type:Organization
Organization Name:BRIDGES HOSPICE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOSHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-544-6233
Mailing Address - Street 1:2245 VALWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3407
Mailing Address - Country:US
Mailing Address - Phone:214-544-6233
Mailing Address - Fax:888-575-7004
Practice Address - Street 1:2245 VALWOOD PKWY
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3407
Practice Address - Country:US
Practice Address - Phone:214-544-6233
Practice Address - Fax:888-575-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based