Healthcare Provider Details

I. General information

NPI: 1215846514
Provider Name (Legal Business Name): BRIDGING THE GAPS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2628 SUMMERGLEN LN
EUSTIS FL
32726-3927
US

IV. Provider business mailing address

2628 SUMMERGLEN LN
EUSTIS FL
32726-3927
US

V. Phone/Fax

Practice location:
  • Phone: 407-285-9266
  • Fax: 352-800-4988
Mailing address:
  • Phone: 407-285-9266
  • Fax: 352-800-4988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAQUINDA WRIGHT
Title or Position: OWNER
Credential:
Phone: 407-285-9266