NPIMap

Organization Active NPI

A Bridge Home LLC

  • Home Health Agency
  • Twin Falls, ID
National Provider Identifier
1124773007
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A BRIDGE HOME LLC
Practice address
1201 Falls Ave E Ste 34
Twin Falls, ID 83301-3464
Phone
(208) 423-8694
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Mohammed Ahmed
Title
Manager
Phone
(208) 423-8694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1201 Falls Ave E Ste 34
Twin Falls, ID 83301-3464

Mailing address

1201 Falls Ave E Ste 34
Twin Falls, ID 83301-3464
Phone (208) 423-8694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220401001787 ID Part A Provider - Home Health Agency 2466846167 Practice locations: Gooding, ID; Twin Falls, ID

Home health agency certification: CCN 137302

Legal name
A BRIDGE HOME LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2022
Last certification
Nov 23, 2022
Organization structure
LLCProprietary
Incorporated
Dec 20, 2021 in ID
Enrollment address
1201 Falls Ave E
Ste 34
Twin Falls, ID 83301-3464

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
A Bridge Home LLCCCN 137302
Overall star rating
2 of 5
Ownership
-
Certified
Dec 12, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
A Bridge Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

445 Main St
Ste 2
Gooding, ID 83330
Phone (208) 208-0200

1201 Falls Ave E
Ste 34
Twin Falls, ID 83301
Phone (208) 423-8694

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mohammed Ahmed Individual 5% Or Greater Direct Ownership Interest Feb 22, 2022 100%
Corporate Officer Feb 22, 2022 100%
W-2 Managing Employee Feb 22, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1124773007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FALLS AVE E STE 34",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013464",
            "telephone_number": "208-423-8694",
            "fax_number": "208-423-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FALLS AVE E STE 34",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013464",
            "telephone_number": "208-423-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIDGE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-423-8694"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.