Active NPI
Bridgewell Homecare Services LLC
Doing business as Bridgewell non-medical Transportation
- Non-emergency Medical Transport (VAN)
- Marietta, GA
National Provider Identifier
1598588592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 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
- Paul Mwaniki Kimani, NURSE
- Title
- Administrator
- Phone
- (781) 420-6161
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Bridgewell Homecare services
National Provider Directory
National Provider DirectoryNPI 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
- Hope Brewer, LMSW
- Brian K. Nadolne, MD, PC
- Kathleen Bride, CPT
- Bridge Chiropractic and Rehabilitation LLC
- Bridge Health LLC
- Ninakeline Briggs
- Bright Hope Personal Care Home LLC
- Bright Horizons Pediatric Therapy, LLC
- Bright Rose Group Home Services Inc (Bright Rose Home Care Services)
- Bright Smile Family Dental LLC
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.