Organization Active NPI

Bright Bridge Healthcare Service LLC

  • Homemaker
  • Canton, OH
National Provider Identifier
1801617188
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
BRIGHT BRIDGE HEALTHCARE SERVICE LLC
Practice address
220 Market Ave S Ste 800-13
Canton, OH 44702-2180
Phone
(330) 428-8411
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Ebony JacksonNPI 1326867730
Title
Owner
Phone
(330) 428-8411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

220 Market Ave S Ste 800-13
Canton, OH 44702-2180

Mailing address

220 Market Ave S Ste 800-13
Canton, OH 44702-2180

National Provider Directory

National Provider Directory

Locations

220 Market Ave S
Ste 80013
Canton, OH 44702
Phone (330) 428-8411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1801617188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MARKET AVE S STE 800-13",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447022180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MARKET AVE S STE 800-13",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447022180",
            "telephone_number": "330-428-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BRIDGE HEALTHCARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-428-8411"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.