Organization Active NPI

Bridgewell Homecare Services LLC

Doing business as Bridgewell non-medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Marietta, GA
National Provider Identifier
1598588592
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BRIDGEWELL HOMECARE SERVICES LLC
Doing business as
Bridgewell non-medical Transportation
Practice address
2816 Jamont CT NE
Marietta, GA 30068-2264
Phone
(781) 420-6161
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Paul Mwaniki Kimani, NURSE
Title
Administrator
Phone
(781) 420-6161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU Primary
Transportation Network Company 342000000X NU

Addresses

Primary practice location

2816 Jamont CT NE
Marietta, GA 30068-2264

Mailing address

2816 Jamont CT NE
Marietta, GA 30068-2264
Phone (781) 420-6161

Other names 2

  • Bridgewell non-medical Transportation Doing business as
  • Bridgewell Homecare services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1598588592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 JAMONT CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682264",
            "telephone_number": "781-420-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 JAMONT CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682264",
            "telephone_number": "781-420-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWELL HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MWANIKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "781-420-6161",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgewell non-medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgewell Homecare services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.