Organization Active NPI

Bridgeway Health LLC

  • Home Health Agency
  • Dearborn, MI
National Provider Identifier
1023513843
Registry record updated Mar 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIDGEWAY HEALTH LLC
Practice address
3200 Greenfield Rd
Dearborn, MI 48120-1802
Phone
(313) 878-1212
NPI assigned
Mar 25, 2018
Last updated
Mar 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2018

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

Authorized official

Name
Kevin Porter
Title
Director
Phone
(248) 383-3048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3200 Greenfield Rd
Dearborn, MI 48120-1802

Mailing address

3200 Greenfield Rd
Dearborn, MI 48120-1802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521936000000",
    "number": "1023513843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201802",
            "telephone_number": "313-878-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-03-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-383-3048"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.