Organization Active NPI

A Bridge Home LLC

  • Community Based Hospice Care Agency
  • Cave Spring, GA
National Provider Identifier
1447090501
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 28, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 851604
Certified
May 28, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mohammed Ahmed Individual 5% Or Greater Direct Ownership Interest Apr 28, 2024 100%
Corporate OfficerManager Apr 28, 2024 100%
W-2 Managing EmployeeManager Aug 1, 2024 100%
Brij M Singh Individual W-2 Managing EmployeeMD; Nov 27, 2024
Demetrius Smith Individual W-2 Managing EmployeeAd; 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

Verify at the official NPI Registry.