Provider Demographics
NPI:1932807625
Name:CARE BRIDGE HOME CARE INC
Entity Type:Organization
Organization Name:CARE BRIDGE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIAISON
Authorized Official - Prefix:
Authorized Official - First Name:ARSH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-645-2774
Mailing Address - Street 1:386 W MAIN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2128
Mailing Address - Country:US
Mailing Address - Phone:508-393-8338
Mailing Address - Fax:
Practice Address - Street 1:386 W MAIN ST STE 14
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2128
Practice Address - Country:US
Practice Address - Phone:508-393-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care