Healthcare Provider Details

I. General information

NPI: 1457272791
Provider Name (Legal Business Name): BRIDGEPOINT HOMECARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E TAYLOR ST STE C
GRIFFIN GA
30223-3410
US

IV. Provider business mailing address

5896 WAGGONER CT
REX GA
30273-5200
US

V. Phone/Fax

Practice location:
  • Phone: 470-410-1896
  • Fax: 470-410-1897
Mailing address:
  • Phone: 470-410-1896
  • Fax: 470-410-1897

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: KEASJA ZYRIA GREEN
Title or Position: OWNER
Credential:
Phone: 470-410-1896