Provider Demographics
NPI:1225631443
Name:BRIDGE HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:BRIDGE HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JEILANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-401-1634
Mailing Address - Street 1:4500 LEE RD STE 221
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-2959
Mailing Address - Country:US
Mailing Address - Phone:614-401-1634
Mailing Address - Fax:
Practice Address - Street 1:4500 LEE RD STE 221
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-2959
Practice Address - Country:US
Practice Address - Phone:614-401-1634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health