NPIMap

Organization Active NPI

Carebridge Inc

  • Home Health Agency
  • Ellicott City, MD
National Provider Identifier
1235868456
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREBRIDGE INC
Doing business as
CareBridge Inc
Practice address
12212 Fawnhaven CT
Ellicott City, MD 21042-1323
Phone
(410) 995-8007
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Caroline OgunmuyiwaNPI 1972320281
Title
Director of Clinical Services
Phone
(410) 995-8007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12212 Fawnhaven CT
Ellicott City, MD 21042-1323

Mailing address

12212 Fawnhaven CT
Ellicott City, MD 21042-1323
Phone (410) 995-8007

Other names 1

  • CareBridge Inc Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Info@carebridgehcs.com Direct
CONNECT URL Info@carebridgehcs.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Carebridge Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1235868456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 FAWNHAVEN CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421323",
            "telephone_number": "410-995-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 FAWNHAVEN CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421323",
            "telephone_number": "410-995-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "OGUNMUYIWA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "410-995-8007"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@carebridgehcs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12212 Fawnhaven Ct",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210421323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@carebridgehcs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12212 Fawnhaven Ct",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210421323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CareBridge Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.