Care Bridge Home Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CARE BRIDGE HOME SERVICES LLC

Practice address

6140 N 20TH St
Philadelphia, PA 19138-2419

Phone

(267) 901-5305

Fax

(215) 561-4677

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melody BallardNPI 1205652385

Title

Director

Phone

(267) 901-5305

Specialties & licenses 1

Addresses

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.

• Melody Ballard

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1205652385
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1518775006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BENJAMIN FRANKLIN PKWY APT E1114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303761",
            "telephone_number": "267-901-5305",
            "fax_number": "215-561-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 N 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191382419",
            "telephone_number": "267-901-5305",
            "fax_number": "215-561-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BRIDGE HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-901-5305"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.