Provider Demographics
NPI:1669356838
Name:BRIDGEPATH NURSING AND WELLNESS SERVICES LLC
Entity type:Organization
Organization Name:BRIDGEPATH NURSING AND WELLNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OR MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNAKWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-466-9004
Mailing Address - Street 1:11 APEX DRIVE
Mailing Address - Street 2:SUITE 300A, PMB 2063
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:617-466-9004
Mailing Address - Fax:
Practice Address - Street 1:10 APEX DRIVE
Practice Address - Street 2:SUITE 300A PMB 2063
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:617-466-9004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No251E00000XAgenciesHome Health