NPIMap

Organization Active NPI

Health Care Bridge, Inc

  • Home Health Agency
  • Beachwood, OH
National Provider Identifier
1992912067
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH CARE BRIDGE, INC
Practice address
3733 Park East Drive
Suite 250
Beachwood, OH 44122
Phone
(216) 382-7621
Fax
(216) 382-6035
NPI assigned
May 17, 2007
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
John Murta
Title
Coo
Phone
(513) 559-2265

Specialties & licenses 1

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

Addresses

Primary practice location

3733 Park East Drive
Suite 250
Beachwood, OH 44122

Mailing address

3733 Park East Drive
Suite 250
Beachwood, OH 44122
Phone (216) 382-7621

Other identifiers 1

IdentifierTypeStateIssuer
2441334MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000703 OH Part A Provider - Home Health Agency 0648443663 Practice locations: Beachwood, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992912067. Details of each certification follow.

Home health agency certification: CCN 368070

Legal name
HEALTH CARE BRIDGE INC.
Doing business as
DEACONESS HEALTHCARE HOLDINGS, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 30, 2004
Last certification
Jan 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 25, 2003 in OH
Enrollment address
3733 Park East Dr
Ste 250
Beachwood, OH 44122-4334

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Care Bridge, IncCCN 368070 · All quality measures
Ownership
Proprietary
Certified
Sep 30, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

3733 Park East Dr
Ste 250
Beachwood, OH 44122
Phone (216) 382-7621

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Murta Individual Corporate OfficerCoo Jul 31, 2018
W-2 Managing Employee Jul 31, 2018
The Deaconess Associations Inc Organization, Cincinnati, OH Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2021 100%
Deaconess Healthcare Holdings, Inc. Organization, Cincinnati, OH Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2021 100%
Health Care Bridge LLC Organization, Cincinnati, OH LLC, Investment firm, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2021 100%

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1992912067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DRIVE",
            "address_2": "SUITE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-382-7621",
            "fax_number": "216-382-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DRIVE",
            "address_2": "SUITE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-382-7621",
            "fax_number": "216-382-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE BRIDGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "MURTA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-559-2265"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2441334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.