Alpha Bridge Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992370 Issued in FL

Legal business name

ALPHA BRIDGE HOME HEALTH, LLC

Practice address

1543 Lakeland Hills Blvd
Suite C
Lakeland, FL 33805-3246

Phone

(863) 937-8370

Fax

(863) 937-8398

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Delbert Scott Wood

Title

Manager

Phone

(813) 397-4101

Specialties & licenses 1

Addresses

Other names 1

• Golden Care Home Health Agency, LLC Former legal business name

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1336189166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD",
            "address_2": "SUITE C",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-937-8370",
            "fax_number": "863-937-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD",
            "address_2": "SUITE C",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-937-8370",
            "fax_number": "863-937-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA BRIDGE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DELBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-397-4101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Care Home Health Agency, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.