Healthcare Provider Details

I. General information

NPI: 1114750551
Provider Name (Legal Business Name): BRIDGE OF HELP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 N 56TH AVE
HOLLYWOOD FL
33021-2269
US

IV. Provider business mailing address

4900 SW 190TH AVE
SOUTHWEST RANCHES FL
33332-1304
US

V. Phone/Fax

Practice location:
  • Phone: 786-451-1389
  • Fax:
Mailing address:
  • Phone: 786-451-1389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LOODLINE SAINT CYR
Title or Position: MANAGER
Credential:
Phone: 786-451-1389