Organization Active NPI

Bridging the Gap Healthcare Inc

  • Home Health Agency
  • Palmetto, FL
National Provider Identifier
1114542800
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIDGING THE GAP HEALTHCARE INC
Practice address
1020 10TH Ave W Unit 91
Palmetto, FL 34221-3796
Phone
(209) 815-8468
Fax
(888) 472-6577
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Phebe Simmons
Title
Treasurer
Phone
(209) 815-8468

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

1020 10TH Ave W Unit 91
Palmetto, FL 34221-3796

Mailing address

1020 10TH Ave W Unit 91
Palmetto, FL 34221-3796
Phone (209) 815-8468

Other identifiers 1

IdentifierTypeStateIssuer
P20000035604OtherFLSECRETARY OF STATE ARTICLES OF FORMATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL magahhc@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1020 10th Ave W
Unit 91
Palmetto, FL 34221
Phone (209) 815-8468

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1114542800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 10TH AVE W UNIT 91",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213796",
            "telephone_number": "209-815-8468",
            "fax_number": "888-472-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 10TH AVE W UNIT 91",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342213796",
            "telephone_number": "209-815-8468",
            "fax_number": "888-472-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PHEBE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "209-815-8468"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE ARTICLES OF FORMATION",
            "identifier": "P20000035604",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "magahhc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1020 10th Ave W Unit 91",
            "city": "Palmetto",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342213796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.