Provider Demographics
NPI:1871215699
Name:PINEBRIDGE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PINEBRIDGE HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-478-7444
Mailing Address - Street 1:3601 E INDEPENDENCE BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7262
Mailing Address - Country:US
Mailing Address - Phone:980-382-7575
Mailing Address - Fax:
Practice Address - Street 1:3601 E INDEPENDENCE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7262
Practice Address - Country:US
Practice Address - Phone:336-478-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care