Active NPI
Marena Bridges
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1609277995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- A073858
- Practice address
- 4658 N 50TH St
Milwaukee, WI 53218-5131 - Phone
- (414) 988-2888
- NPI assigned
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | A073858 | WI | Primary |
Addresses
Primary practice location
4658 N 50TH St
Milwaukee, WI 53218-5131
Mailing address
4658 N 50TH St
Milwaukee, WI 53218-5131
Phone (414) 988-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A073858 | WI | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1609277995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4658 N 50TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532185131",
"telephone_number": "414-988-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4658 N 50TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532185131",
"telephone_number": "414-988-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "MARENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WI",
"license": "A073858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
- Bridge to Abundances Afh LLC
- Cynthia Anastasia Bridge, MS CCC-SLP
- Jacqueline Marie Bridge
- Hannah Jan Bridgeland, APNP
- Joseph Wesley Bridges, PT
- Tandra Renee Bridges, LPCIT
- Kendra Kay Bridgewater, RD
- Bridgeway Independent Living Designs, LLC
- Michele Brielmaier, ACUPUNCTURIST
- Lauren Brierton, LPC, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.