Organization Active NPI

Bridging Gaps Home Care LLC

  • In Home Supportive Care Agency
  • Okemos, MI
National Provider Identifier
1003565805
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRIDGING GAPS HOME CARE LLC
Practice address
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone
(313) 265-6957
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Demetrius Lockhart, N/A
Title
Owner/Operator
Phone
(313) 265-6957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Mailing address

15712 Prest St
Detroit, MI 48227-2325
Phone (313) 265-6957

Other names 1

  • Bridging Gaps Home Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1003565805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15712 PREST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272325",
            "telephone_number": "313-265-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "313-265-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING GAPS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "313-265-6957",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridging Gaps Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.