Provider Demographics
NPI:1811881675
Name:HEAL BRIDGE RECUPERATIVE CARE LLC
Entity type:Organization
Organization Name:HEAL BRIDGE RECUPERATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAMDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-844-1555
Mailing Address - Street 1:13670 VALLEY VIEW RD APT 117
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-1977
Mailing Address - Country:US
Mailing Address - Phone:619-844-1555
Mailing Address - Fax:
Practice Address - Street 1:13670 VALLEY VIEW RD APT 117
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-1977
Practice Address - Country:US
Practice Address - Phone:619-844-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty