Provider Demographics
NPI:1669074092
Name:NEW BRIDGE HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:NEW BRIDGE HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-814-2493
Mailing Address - Street 1:232 PENINSULA WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7395
Mailing Address - Country:US
Mailing Address - Phone:803-467-5883
Mailing Address - Fax:
Practice Address - Street 1:455D SAINT ANDREWS RD STE 4A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4424
Practice Address - Country:US
Practice Address - Phone:803-814-2493
Practice Address - Fax:803-814-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care