Provider Demographics
NPI:1306468574
Name:BRIDGEVIEW HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:BRIDGEVIEW HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAMARKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDIRAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-822-8331
Mailing Address - Street 1:3428 MEMPHIS AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-3205
Mailing Address - Country:US
Mailing Address - Phone:614-822-8331
Mailing Address - Fax:
Practice Address - Street 1:5510 PEARL RD STE 305
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2550
Practice Address - Country:US
Practice Address - Phone:216-306-3647
Practice Address - Fax:216-306-3681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health