Care Bridge Providers

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CARE BRIDGE PROVIDERS

Practice address

1025 Montgomery Hwy Ste 109
Vestavia Hills, AL 35216-2856

Phone

(205) 208-9466

Fax

(295) 208-9556

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Domonic Petitti

Title

President

Phone

(205) 585-5057

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care Doing business as

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1962069252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY STE 109",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162856",
            "telephone_number": "205-208-9466",
            "fax_number": "295-208-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY STE 109",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162856",
            "telephone_number": "205-208-9466",
            "fax_number": "295-208-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BRIDGE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "PETITTI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DOMONIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-585-5057"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Camp
• Rachel Lee Campbell
• Virginia Alexander Campbell
• Kimberly Delaine Carden, LICSW
• Karen Miranda Cardwell, CRNP
• Julian Orlando Simon Carlo, MD
• John Collin Carr, PA-C
• Carver Counseling Services
• Kathleen Cassidy, RBT
• Macy Cates

• All providers in Vestavia Hills, AL
• Home Health Aide in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.