MEDICARE: CAREBRIDGE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1144015751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREBRIDGE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4200 SOUTH FWY STE 2350
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76115-1427
Country	:	US
Telephone Number	:	214-400-8755
Fax Number	:	817-305-8994

Provider Business Practice Location Address
First Line	:	4200 SOUTH FWY STE 2350
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76115-1427
Country	:	US
Telephone Number	:	214-400-8755
Fax Number	:	817-305-8994

Authorized Official
Title or Position	:	MANAGER
Name	:	AMMAR ABDUL MOTALEB
Credential	:
Telephone Number	:	214-400-8755

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	05/03/2026

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