Bridgeway Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRIDGEWAY HOSPICE, INC.

Doing business as

Bridgeway Hospice

Practice address

1041 Thurman Rd
Suite B
Stockbridge, GA 30281-1420

Phone

(770) 389-8784

Fax

(770) 389-8523

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joanne Samuel, REGISTER NURSE

Title

Administrator/Owner

Phone

(770) 389-8784

Specialties & licenses 1

Addresses

Other names 1

• Bridgeway Hospice Doing business as

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1043410616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 THURMAN RD",
            "address_2": "SUITE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811420",
            "telephone_number": "770-389-8784",
            "fax_number": "770-389-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 THURMAN RD",
            "address_2": "SUITE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811420",
            "telephone_number": "770-389-8784",
            "fax_number": "770-389-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "770-389-8784",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Stockbridge, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.