Organization Active NPI

Healthbridge Medical and Rehabilitative Services LLC

Doing business as Healthbridge Home Health of Roswell

  • Home Health Agency
  • Roswell, NM
National Provider Identifier
1831672054
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHBRIDGE MEDICAL AND REHABILITATIVE SERVICES LLC
Doing business as
Healthbridge Home Health of Roswell
Practice address
200 W 1St St Ste 530
Roswell, NM 88203-4676
Phone
(575) 363-8178
Fax
(855) 655-2476
NPI assigned
Sep 13, 2018
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Francis Ian C Bicol, DNP, CRNANPI 1922553460
Title
Administrator
Phone
(575) 363-8178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

200 W 1St St Ste 530
Roswell, NM 88203-4676

Mailing address

500 N Kentucky Ave
Roswell, NM 88201-4721
Phone (575) 363-8178

Other names 1

  • Healthbridge Home Health of Roswell Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1831672054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KENTUCKY AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014721",
            "telephone_number": "575-363-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 530",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034676",
            "telephone_number": "575-363-8178",
            "fax_number": "855-655-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBRIDGE MEDICAL AND REHABILITATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "BICOL",
        "authorized_official_first_name": "FRANCIS IAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-363-8178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthbridge Home Health of Roswell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthbridge Home Health of Roswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.