A&O Bridge to Indenpendence

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

A&O BRIDGE TO INDENPENDENCE

Practice address

611 Somerville St Unit 1
Manchester, NH 03103-4531

Phone

(603) 840-9449

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Flore Luzayisu Vedikondele I, MD

Title

Member

Phone

(603) 262-0246

Specialties & licenses 1

Addresses

Other names 2

• A&O BRIDGE TO INDENPENDENCE Doing business as
• A&O Bridge to Independence LLC Doing business as

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1942013974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SOMERVILLE ST UNIT 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034531",
            "telephone_number": "603-840-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SOMERVILLE ST UNIT 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034531",
            "telephone_number": "603-840-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&O BRIDGE TO INDENPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "VEDIKONDELE",
        "authorized_official_first_name": "FLORE",
        "authorized_official_middle_name": "LUZAYISU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-262-0246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&O BRIDGE TO INDENPENDENCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A&O Bridge to Independence LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Manchester, NH
• In Home Supportive Care Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.