Organization Active NPI

Bridge Home Healthcare LLC

  • In Home Supportive Care Agency
  • Mount Laurel, NJ
National Provider Identifier
1124566807
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRIDGE HOME HEALTHCARE LLC
Practice address
2702 Sussex CT
Mount Laurel, NJ 08054-4242
Phone
(973) 234-4027
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Fulgencio R Garcia
Title
Owner
Phone
(973) 234-4027

Specialties & licenses 1

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

Addresses

Primary practice location

2702 Sussex CT
Mount Laurel, NJ 08054-4242

Mailing address

2702 Sussex CT
Mount Laurel, NJ 08054-4242
Phone (973) 234-4027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1124566807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 SUSSEX CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544242",
            "telephone_number": "973-234-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 SUSSEX CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544242",
            "telephone_number": "973-234-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FULGENCIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-234-4027"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.