Healthcare Provider Details

I. General information

NPI: 1932030756
Provider Name (Legal Business Name): BRIDGE MEDICAL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 EVERSON RIDGE CT
SNELLVILLE GA
30039-4406
US

IV. Provider business mailing address

2919 EVERSON RIDGE CT
SNELLVILLE GA
30039-4406
US

V. Phone/Fax

Practice location:
  • Phone: 404-246-4491
  • Fax:
Mailing address:
  • Phone: 404-246-4491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BRIDGET S GLADMON
Title or Position: OWNER/ ADMINISTRATOR
Credential:
Phone: 404-246-4491