Bridge of Light Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRIDGE OF LIGHT HEALTH SERVICES LLC

Practice address

2234 S Hamilton Rd
101
Columbus, OH 43232-4389

Phone

(614) 751-3730

Fax

(614) 751-4481

NPI assigned

Aug 29, 2006

Last updated

Jul 21, 2022By 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

Ms. Mary Lee Boschulte, N.P.

Title

Exceutive Director

Phone

(614) 751-3730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790893675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 S HAMILTON RD",
            "address_2": "101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324389",
            "telephone_number": "614-751-3730",
            "fax_number": "614-751-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 S HAMILTON RD",
            "address_2": "101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324389",
            "telephone_number": "614-751-3730",
            "fax_number": "614-751-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF LIGHT HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOSCHULTE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXCEUTIVE  DIRECTOR",
        "authorized_official_telephone_number": "614-751-3730",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2535395",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbus, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.