Provider Demographics
NPI:1063124733
Name:BRIDGE CARE LLC
Entity type:Organization
Organization Name:BRIDGE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:941-599-1527
Mailing Address - Street 1:11778 TEMPEST HARBOR LOOP
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-3819
Mailing Address - Country:US
Mailing Address - Phone:941-599-1527
Mailing Address - Fax:
Practice Address - Street 1:11778 TEMPEST HARBOR LOOP
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3819
Practice Address - Country:US
Practice Address - Phone:941-599-1527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion