Organization Active NPI

Bridgeway HHA Metro, LLC

Doing business as BridgeWay Home Health

  • Home Health Agency
  • Snellville, GA
National Provider Identifier
1417453150
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
044-304-H Issued in GA
Legal business name
BRIDGEWAY HHA METRO, LLC
Doing business as
BridgeWay Home Health
Practice address
2351 Henry Clower Blvd Ste a
Snellville, GA 30078-7421
Phone
(770) 674-1036
Fax
(770) 710-0917
NPI assigned
Apr 2, 2018
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Gary Rasmussen
Title
President
Phone
(678) 932-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 044-304-H GA Primary

Addresses

Primary practice location

2351 Henry Clower Blvd Ste a
Snellville, GA 30078-7421

Mailing address

1395 South Marietta Pkwy SE
BLDG 400 Suite 102
Marietta, GA 30067-7852
Phone (678) 932-6302

Other names 1

  • BridgeWay Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

2351 Henry Clower Blvd
Ste A
Snellville, GA 30078
Phone (770) 674-1036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1417453150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 SOUTH MARIETTA PKWY SE",
            "address_2": "BLDG 400 SUITE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677852",
            "telephone_number": "678-932-6302",
            "fax_number": "678-402-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HENRY CLOWER BLVD STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787421",
            "telephone_number": "770-674-1036",
            "fax_number": "770-710-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY HHA METRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-932-6302"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-304-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BridgeWay Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.