Healthcare Provider Details

I. General information

NPI: 1912894759
Provider Name (Legal Business Name): BRIDGES AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 S MARKET ST
WICHITA KS
67202-3805
US

IV. Provider business mailing address

313 S MARKET ST
WICHITA KS
67202-3805
US

V. Phone/Fax

Practice location:
  • Phone: 316-260-4409
  • Fax: 316-260-4542
Mailing address:
  • Phone: 316-260-4409
  • Fax: 316-260-4542

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: VICTORIA SNYDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 316-219-1735