Bridgewater Senior Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRIDGEWATER SENIOR HOME CARE

Practice address

15400 Pearl Rd Ste 205
Strongsville, OH 44136-6017

Phone

(440) 210-9994

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Molly Koenig

Title

Ceo

Phone

(440) 210-9994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1720800394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 205",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366017",
            "telephone_number": "440-210-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 205",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366017",
            "telephone_number": "440-210-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER SENIOR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-210-9994"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Melissa Bordeaux, D.M.D., M.S.D.
• Michelle Borelle
• William Bowler, LPC, LICDC-CS
• Brianna Nicole Boyko
• Jeffrey Bricker, LPCC
• Christina Brinda, D.D.S.
• Matthew Bringman
• Eugene Paul Britton, D.D.S.
• Jenna Bronstrup, AUD
• Mandy Jean Brooks, PHARMACY INTERN

• Home Health Agency in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.