Ashley Cheneise Bridges, RN

Individual provider Active NPI Home Health Agency · Magnolia, MS

NPI 1801286190 · NPPES record last updated Jan 26, 2015

Key facts

NPI
1801286190
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
R872427 (MS)
Practice address
2054 Lang Rd
Magnolia, MS 39652-8625
Phone
(601) 783-3964
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R872427MSMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Care-a-Lot,LLC Home Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R872427 MS Yes

Addresses

Primary practice location

2054 Lang Rd
Magnolia, MS 39652-8625

Mailing address

2054 Lang Rd
Magnolia, MS 39652-8625
Phone (601) 783-3964

Other providers in Magnolia, MS

All providers in Magnolia, MS · Home Health Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.