Provider Demographics
NPI:1972978369
Name:BRIDGES HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:BRIDGES HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THADDIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:571-919-5344
Mailing Address - Street 1:2700 NEABSCO COMMON PL STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6767
Mailing Address - Country:US
Mailing Address - Phone:571-919-5344
Mailing Address - Fax:703-680-4732
Practice Address - Street 1:2700 NEABSCO COMMON PL STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-6767
Practice Address - Country:US
Practice Address - Phone:571-919-5344
Practice Address - Fax:703-680-4732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness