Provider Demographics
NPI:1578386157
Name:CARE BRIDGE HOME CARE LLC
Entity type:Organization
Organization Name:CARE BRIDGE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONDIEKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-549-7166
Mailing Address - Street 1:36 WINTON FARM RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2653
Mailing Address - Country:US
Mailing Address - Phone:203-549-7166
Mailing Address - Fax:
Practice Address - Street 1:36 WINTON FARM RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-2653
Practice Address - Country:US
Practice Address - Phone:251-458-6847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care