Active NPI
A Bridge Home LLC
- Community Based Hospice Care Agency
- Cave Spring, GA
National Provider Identifier
1447090501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- A BRIDGE HOME LLC
- Practice address
- 10 Georgia Ave Ste North2Nd
Cave Spring, GA 30124-2720 - Phone
- (702) 445-1354
- NPI assigned
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed Ahmed, MBBS, MS
- Title
- Manager
- Phone
- (702) 445-1354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
10 Georgia Ave Ste North2Nd
Cave Spring, GA 30124-2720
Mailing address
727 Bunker Hill Rd Apt 112
Houston, TX 77024-4458
Phone (702) 445-1354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207000622 | GA | Part A Provider - Hospice | 1153851068 | Practice locations: Cave Spring, GA |
Hospice certification: CCN 851604
- Legal name
- A BRIDGE HOME LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 28, 2025
- Last certification
- May 27, 2025
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Apr 28, 2024 in GA
- Enrollment address
- 10 Georgia Ave
Cave Spring, GA 30124-2720
Care Compare: Hospice
Medicare Care Compare- Listed as
- A Bridge Home, LLC
- Certified
- May 28, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10 Georgia Ave
Cave Spring, GA 30124
Phone (702) 445-1354
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mohammed Ahmed | 5% Or Greater Direct Ownership Interest | Apr 28, 2024 | 100% |
| Corporate Officer | Apr 28, 2024 | 100% | |
| W-2 Managing Employee | Aug 1, 2024 | 100% | |
| Brij M Singh | W-2 Managing Employee | Nov 27, 2024 | |
| Demetrius Smith | W-2 Managing Employee | Nov 27, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1447090501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 BUNKER HILL RD APT 112",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244458",
"telephone_number": "702-445-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GEORGIA AVE STE NORTH2ND",
"city": "CAVE SPRING",
"state": "GA",
"postal_code": "301242720",
"telephone_number": "702-445-1354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A BRIDGE HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-445-1354",
"authorized_official_credential": "MBBS, MS"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cave Spring, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.